Conclusion:
Treating physicians should be aware of the possibility of right atrial thrombus in rheumatic
mitral valve disease because of its clinical implications, like life-threatening pulmonary
embolization and need of surgical management.
Cerebrovascular Accidents represent a dangerous complication of cyanotic
children with tetralogy of fallot with incidence of 8.6%.Tetralogy of
Fallot has been associated with raised haematocrit with low arterial
Saturation. Here we describe an 18 months old female child of Tetralogy
of Fallot with Cyanotic spells acute onset right sided hemiplegia with
Right Atrial thrombus who underwent emergency surgery with
intraoperative predicament.