introduction tetralogy of fallot (tof) in the absent of pulmonary valve is a rare congenital anomaly (3%of tof patients). case presentation we are presenting an 18- year-old male with history of dyspnea on exertion and cyanosis since childhood. despite the diagnosis of congenital heart disease, no intervention was done due to his poor socioeconomic culture. at age of 18, he referred to our cent...
