Tetralogy of Fallot (TOF) is the most common cyanotic
congenital heart disease, characterized by aortic overriding,
right ventricular hypertrophy,
pulmonary stenosis (PS) and
ventricular septal defect (VSD). When left untreated,
survival to adulthood is rare. There are few
case reports of uncorrected TOF surviving to adulthood and then presenting for noncardiac surgeries. We present a case of
debridement of a
necrotizing fasciitis under low
dose spinal anaesthesia, in a
patient of uncorrected TOF with
scoliosis and cushingoid features.