“…TOF combines four key features: VSD, pulmonary stenosis, right ventricular hypertrophy, and a dextropositional aorta causing an override of the ventricular septum by the aortic root. In addition to being an anatomic anomaly, TOF also seems to be a complicated genetic disorder associated with other anomalies such as absent pulmonary valves, absent/hidden pulmonary arteries, and extracardiac anomalies [3].…”