Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Full Mouth Rehabilitation in a 3-Year-Old Female Child with Repaired Tetralogy of Fallot: A Case Report

Agrawal Pratiksha, Verma Preeti, Dubey Shashi, Bokde Aditi

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Indian Journal of Anesthesia and Analgesia 13(2):p 95-98, April-June 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13226.7

How Cite This Article:

Agrawal Pratiksha, Verma Preeti, Dubey Shashi, et al. Full mouth rehabilitation in a 3-Year-Old Female child with Repaired Tetralogy of Fallot: A Case Report. Ind J Anesth Analg. 2026; 13(2): 95-98.

Timeline

Received : January 27, 2026         Accepted : February 28, 2026          Published : June 30, 2026

Abstract

Introduction: Tetralogy of Fallot (TOF) is a common congenital cyanotic heart disease. Despite successful surgical repair, patients remain at increased risk of complications during future surgeries, especially in procedures which predispose to infective endocarditis. CaseReport:A3 – year old female patient, suffering from chronic irreversible pulpitis was posted for a full mouth rehabilitation surgery under general anesthesia. She has history of tetralogy of Fallot (TOF) repair at 22 months of age. Current clinical and echocardiographic findings showed no major abnormalities. She underwent successful oral surgery under general anesthesia with due precautions and utmost care maintaining stable hemodynamic parameters peri-operatively. Conclusion: This case highlights the successful perioperative management of a child with repaired TOF undergoing full mouth rehabilitation. Comprehensive preoperative evaluation, appropriate antibiotic prophylaxis, and tailored anesthetic technique contributed to a smooth outcome. Key Messages: (Provide appropriate messages of about 35-50 words to be printed in centre box): Anaesthetic management of patients with corrected congenital cardiac diseases requires specific and tailor-made approach taking into consideration the anatomical and physiological variations of disease, corrective surgery and ongoing medications. Team approach involving a cardiologist, surgeon, paediatrician and anaesthesiologist is essential for successful outcome.

References

  • 1.   Wilson R., Ross O., Griksaitis M.J. Tetralogy of Fallot. BJA Educ. 2019; 19(11): 362-369. doi:10.1016/j.bjae.2019.07.003.
  • 2.   Smith C.A., McCracken C., Thomas A.S., Spector L.G., St Louis J.D., Oster M.E., et al. JAMA Cardiol. 2018 Dec 19; 4(1): 34–41. doi:10.1001/jamacardio.2018.4255.
  • 3.   White M.C., James M.P. Anaesthetic management of children with congenital heart disease for non-cardiac surgery. Contin Educ Anaesth Crit Care Pain. 2012; 12(1): 17-22. doi:10.1093/bjaceaccp/mkr049.
  • 4.   Mercer-Rosa L. and Favilla E. (2024) Neurodevelopment in patients with repaired tetralogy of Fallot. Front. Pediatr. 2024; 12:1137131. doi: 10.3389/fped.2024.1137131
  • 5.   Verma N., Madavi S., Jadhav J.A., Dash S., Chandak A. Anesthetic challenges in an infant with tetralogy of Fallot posted for non-cardiac surgery: a case report and literature review. Cureus. 2023; 15(10): e47327. doi:10.7759/cureus.47327. PMID: 38022008; PMCID: PMC10657144.
  • 6.   Miller R.D., Cohen N.H., Eriksson L.I., Fleisher L.A., Wiener-Kronish J.P., Young W.L., editors. Miller’s Anesthesia. 9th ed. Philadelphia: Elsevier; 2020.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

About this article

Cite this article

Agrawal Pratiksha, Verma Preeti, Dubey Shashi, et al. Full mouth rehabilitation in a 3-Year-Old Female child with Repaired Tetralogy of Fallot: A Case Report. Ind J Anesth Analg. 2026; 13(2): 95-98.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
January 27, 2026 February 28, 2026 June 30, 2026
DOI: https://doi.org/10.21088/ijaa.2349.8471.13226.7

Keywords

Tetralogy of FallotCongenital cyanotic heart diseaseMaxillofacial surgeryanaesthetic management

Article Level Metrics

Last Updated

Wednesday 01 July 2026, 00:46:11 (IST)

5233

Accesses

8
654
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received January 27, 2026
Accepted February 28, 2026
Published June 30, 2026

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share