Acharya, BinataKoirala, MeghaGurung, RenuBajracharya, Nitendra Raj2026-08-112026-08-112024https://hdl.handle.net/20.500.14572/7224Binata Acharya Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Megha Koirala Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Renu Gurung Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal Nitendra Raj Bajracharya Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, NepalAbstract: Perioperative management of the patients with uncorrected Tetralogy of Fallot (TOF) for noncardiac surgery is a challenge for the anesthesiologists. TOF is the commonest cyanotic congenital heart disease (CHD). We report a case of a child with unrepaired TOF, presented for ear surgery highlighting the anaesthetic concerns and the methods to minimize the complications in the perioperative period. Keywords: Myringoplasty, non-cardiac surgery, tetralogy of Falloten-USMyringoplastynon-cardiac surgerytetralogy of FallotArticle