%0 Journal Article %T Tetralogy of Fallot with isolated levocardia in a young female %A Adnan Khan %A Ali Ghani %A Asrar Ahmad %A Hafez Muhammad Abdullah %A Sohaib Roomi %A Waqas Ullah %A Zeeshan Sattar %J Journal of Community Hospital Internal Medicine Perspectives %D 2019 %R https://doi.org/10.1080/20009666.2019.1601980 %X ABSTRACT Tetralogy of Fallot is the most common cyanotic congenital heart disease. It consists of right ventricular outflow tract obstruction, a ventricular septal defect, abnormally located aorta and right ventricular hypertrophy. It usually occurs as an isolated anomaly with a normally placed heart and abdominal viscera. We present a case of a 19 years old female who presented with a prolonged history of shortness of breath (SOB) and cyanosis. After undergoing echocardiography and cardiac computed tomography angiogram (CTA), she was diagnosed to be a case of Tetrology of Fallot (TOF) in association with situs inversus with levocardia also termed ¡®isolated levocardia¡¯. The patient underwent surgical correction and she was asymptomatic with no residual cardiac defects on follow up after 6 months. Isolated levocardia is a rare condition that is usually associated with severe cardiac defects and a low life expectancy in untreated patients. It is unusual for it to be diagnosed in adults as in our case %U https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1601980