Tetralogy of Fallot in a 71-year-old patient with new onset hypoxemia.

This study reports the evaluation and successful surgical management of a 71 year-old female with known Tetralogy of Fallot and symptomatic hypoxemia. A hybrid (fluid-micromanometer) catheter system was employed to examine right heart pressure gradients. This case presents unique hemodynamics along with angiography and palliative surgical management.