Short answer · Medically reviewed summary · Last updated: 2026-05-08

Tetralogy of Fallot is the most common form of cyanotic congenital heart disease, occurring in approximately 1 in every 2,500 to 3,000 live births globally. While it is considered a rare condition, advancements in pediatric cardiac surgery have significantly increased the number of individuals living into adulthood with this diagnosis. What is the incidence and prevalence of Tetralogy of Fallot? The incidence of Tetralogy of Fallot is estimated at roughly 3 to 4 cases per 10,000 live births, according to data from the National Institutes of Health (NIH) GARD.

2 people with Tetralogy Of Fallot have shared their first-person experience on this question at DiseaseMaps.

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What is the prevalence of Tetralogy Of Fallot?

Prevalence of Tetralogy Of Fallot: how many people are affected worldwide, differences by sex and region, with sources.

Prevalence of Tetralogy Of Fallot

Tetralogy of Fallot is the most common form of cyanotic congenital heart disease, occurring in approximately 1 in every 2,500 to 3,000 live births globally. While it is considered a rare condition, advancements in pediatric cardiac surgery have significantly increased the number of individuals living into adulthood with this diagnosis.



What is the incidence and prevalence of Tetralogy of Fallot?


The incidence of Tetralogy of Fallot is estimated at roughly 3 to 4 cases per 10,000 live births, according to data from the National Institutes of Health (NIH) GARD. Because Tetralogy of Fallot requires surgical intervention early in life, the prevalence of the condition is essentially equivalent to the number of survivors of these procedures. It is important to note that global prevalence data can be difficult to track precisely, as access to early diagnosis and surgical care varies significantly between regions, potentially leading to underreporting in lower-resource settings.



Are there demographic differences in Tetralogy of Fallot?


Research indicates that Tetralogy of Fallot affects males and females with roughly equal frequency, though some studies suggest a slight male predominance. While the condition is typically identified during the prenatal period or shortly after birth, the increasing survival rates mean that the community of adults living with Tetralogy of Fallot is growing. Regarding ethnic or geographic distribution, there is no strong evidence suggesting that Tetralogy of Fallot is significantly more common in one specific ethnic group over another.



How does the DiseaseMaps community reflect these statistics?


Clinical data provides only one piece of the puzzle; real-world experiences offer deeper insight into the lifelong journey of living with a heart condition. Currently, 362 individuals with Tetralogy of Fallot have joined the DiseaseMaps.org community to share their experiences. This collective data helps highlight several key aspects of the patient journey:



  • The high frequency of early-life surgical interventions.

  • The transition from pediatric to adult congenital heart disease (ACHD) care.

  • The ongoing need for monitoring and potential re-interventions throughout adulthood.

  • The psychological impact of managing a lifelong chronic health condition.



Next steps



  • Consult with a board-certified Adult Congenital Heart Disease (ACHD) specialist to monitor your cardiac health.

  • Join the Tetralogy of Fallot community at DiseaseMaps.org to connect with others who share your specific medical journey.

  • Maintain a comprehensive record of your surgical history and imaging reports to share with your healthcare team.



Medical disclaimer: This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment; always seek the guidance of your physician or other qualified health provider with any questions regarding a medical condition.



References



  • NIH Genetic and Rare Diseases Information Center (GARD): Tetralogy of Fallot.

  • Orphanet: Rare disease database for congenital heart malformations.

  • OMIM (Online Mendelian Inheritance in Man): Clinical features and genetic associations of Tetralogy of Fallot.

  • American Heart Association (AHA) - Congenital Heart Defects statistics.

Author: DiseaseMaps Editorial Team
Reviewed against authoritative medical sources (NIH GARD, Orphanet, OMIM)
Last updated: 2026-05-08
Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
3 answers
TOF occurs in about 1 in 2000 newborns.

Posted Feb 16, 2018 by Janco 3020
Translated from french Improve translation
I don't know of any but it is the congenital heart disease the most common

Posted Oct 5, 2017 by Morgane 2000

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Stories of Tetralogy Of Fallot

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Facebook.com/andysswim
Tetralogy Of Fallot stories
My wife and I had Cam after 3 miscarriages. We were blessed on 3/8/17 with him. I had never heard of TOF before we found out. Its been scary but we are ready to stand string together. You can see more at  https://www.facebook.com/camerontof/  
Tetralogy Of Fallot stories
Open heart surgery full repair in 1986 Open heart tricuspid valve repair and pulmonary valve replacement 2006 Ablation for SVT. ICD implanted 2014 Ablation for V-fib 2017
Tetralogy Of Fallot stories
_Our 20 week scan... the day that shook our happy ever after pregnancy._ _Our twins Florence Ivy and Nancy Rose were the icing on the cake for our family, the babies that would blend our 2 families together. _ _At Our scan we were told twin 2's h...
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Little one due any day now... July 26, 2017. TOF.  Scared momma. I haven't set up the nursery or made any decorations because I am afraid of having to come home empty hearted...and take everything down. 

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Tetralogy Of Fallot forum

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My name is Evan, I'm 13 years old and I'm 4'8. I read that TOF affects growth so I'm wondering when I will get taller or how tall I will be. My male relatives are generally tall, for example, my grandpa is 6'3-6'4 so I'm wondering if that has any eff...

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