Successful Intravenous Thrombolytic Therapy in a Patient with Tetralogy of Fallot Presenting with Stroke

Congenital heart disease patients would have an elevated stroke risk compared to the general population. The prevalence of adults living with this condition is increasing, and knowledge of their risks and management should be of common knowledge to adult clinicians. The mechanisms of stroke implicate right to left shunt allowing paradoxical embolization. Anticoagulation of patients with complex congenital heart disease is preferred with vitamin K antagonist. We describe a successful thrombolysis case of a patient with Tetralogy of Fallot who presented at the emergency room with an ischemic stroke in time for intravascular thrombolysis treatment and had favorable outcomes.