raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3303

Tetralogy of Fallot

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Multigenic/multifactorial
Age of onset
Antenatal, Neonatal
Status
active

Tetralogy of Fallot is a congenital cardiac malformation that consists of an interventricular communication, also known as a ventricular septal defect, obstruction of the right ventricular outflow tract, override of the ventricular septum by the aortic root, and right ventricular hypertrophy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTetralogy of Fallot
frTétralogie de Fallot
deFallot-TetralogieFallotsche Tetralogie
esTetralogía de Fallot
itTetralogia di Fallot
nlTetralogie van Fallot
ptTetralogia de Fallot
plTetralogia Fallota
csFallotova tetralogie
ukТетрада Фалло
zh法洛四联症
trFallot tetralojisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM187500Evalidated
OMIM617912NTBTvalidated
OMIM618780NTBTvalidated
ICD-10Q21.3Especificvalidated
ICD-11LA88.2Especificvalidated
MONDO0008542Evalidated
MeSHD013771Evalidated
UMLSC0039685Evalidated
GARD2245Evalidated
MedDRA10016193Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

13 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NKX2-5Candidate gene tested inAssessedHGNC:2488ENSG000001830726005845q35.1NK2 homeobox 529045289[PMID]
TBX1Candidate gene tested inNot yet assessedHGNC:11592ENSG0000018405860205422q11.21T-box transcription factor 120937753[PMID]
FLT4Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:3767ENSG000000372801363525q35.3fms related receptor tyrosine kinase 430232381[PMID]
GATA4Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:4173ENSG000001365746005768p23.1GATA binding protein 424000169[PMID]
GATA5Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:15802ENSG0000013070061149620q13.33GATA binding protein 523289003[PMID]
JAG1Disease-causing germline mutation(s) inAssessedHGNC:6188ENSG0000010138460192020p12.2jagged canonical Notch ligand 121893051[PMID]
CITED2Major susceptibility factor inNot yet assessedHGNC:1987ENSG000001644426029376q24.1Cbp/p300 interacting transactivator with ED-rich tail 2
GATA6Major susceptibility factor inNot yet assessedHGNC:4174ENSG0000014144860165618q11.2GATA binding protein 620581743[PMID]
GDF1Major susceptibility factor inNot yet assessedHGNC:4214ENSG0000013028360288019p13.11growth differentiation factor 1
GJA5Major susceptibility factor inAssessedHGNC:4279ENSG000002651071210131q21.2gap junction protein alpha 522713807[PMID]
KDRMajor susceptibility factor inAssessedHGNC:6307ENSG000001280521913064q12kinase insert domain receptor34113005[PMID]
NKX2-6Major susceptibility factor inAssessedHGNC:32940ENSG000001800536117708p21.2NK2 homeobox 625195019[PMID]
ZFPM2Major susceptibility factor inAssessedHGNC:16700ENSG000001699466036938q23zinc finger protein, FOG family member 224702427[PMID]_14517948[PMID]
5

Prevalence and incidence

25 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-5 / 10 00034 / 100 000WorldwideValue and classValidated22078432[PMID]
Prevalence at birth1-5 / 10 00029.3 / 100 000EuropeValue and classValidated[EXPERT]_EUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth1-5 / 10 00039.3 / 100 000AustriaValue and classValidatedEUROCAT European surveillance of congenital anomalies 2009[OTHER]
Prevalence at birth1-5 / 10 00040.8 / 100 000BelgiumValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00011.4 / 100 000CroatiaValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth1-5 / 10 00039.7 / 100 000DenmarkValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth1-5 / 10 00013.8 / 100 000FranceValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00011.9 / 100 000GermanyValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00034.3 / 100 000HungaryValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth1-5 / 10 00014.5 / 100 000IrelandValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00026.8 / 100 000ItalyValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00048.2 / 100 000MaltaValue and classValidatedEUROCAT European surveillance of congenital anomalies 2009[OTHER]
Prevalence at birth1-5 / 10 00029.2 / 100 000NetherlandsValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00031.1 / 100 000NorwayValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00016.2 / 100 000PolandValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth1-5 / 10 00023.7 / 100 000PortugalValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth6-9 / 10 00063 / 100 000Taiwan, Province of ChinaValue and classValidated20138303[PMID]
Prevalence at birth1-5 / 10 00011.9 / 100 000SpainValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Prevalence at birth1-5 / 10 00025.1 / 100 000SwitzerlandValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00032 / 100 000United KingdomValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00025.4 / 100 000UkraineValue and classValidatedEUROCAT European surveillance of congenital anomalies 2011[OTHER]
Prevalence at birth1-5 / 10 00047 / 100 000United StatesValue and classValidated18657826[PMID]
Prevalence at birth1-5 / 10 00040 / 100 000ChinaValue and classValidated23350618[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET
Point prevalenceUnknown—EuropeClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

12 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0005105Abnormal nasal morphology
HP:0001156Brachydactyly
HP:0000337Broad forehead
HP:0004209Clinodactyly of the 5th finger
HP:0001511Intrauterine growth retardation
Frequent (79-30%)
HP:0000028Cryptorchidism
HP:0000268Dolichocephaly
HP:0004467Preauricular pit
HP:0000520Proptosis
HP:0001636Tetralogy of Fallot
HP:0000233Thin vermilion border
HP:0009891Underdeveloped supraorbital ridges

Run the differential on the 5 obligate / very frequent terms

7

Sources for this card