The tetralogy of Fallot consists of the following 4 congenital malformations: a large defect of the interventricular septum, an obstruction to the flow of blood at the exit from the right ventricle (stenosis of the pulmonary artery), right ventricular hypertrophy and "sitting aorta". Symptoms include cyanosis, dyspnea during feeding, impaired physical development, and hypoxemic seizures (sudden, potentially fatal episodes of severe cyanosis).