Intrauterine lower extremity gangrene in a newborn with Tetralogy of Fallot.

Intrauterine gangrene of an extremity is a rare problem. Lower extremity gangrene is even rarer.1 We present a case of lower extremity gangrene in combination with Tetralogy of Fallot (TOF) and postaxial polydactyly of the hand. A live male infant was delivered by caesarean section. Delivery occurred at the 34th week of gestation due to meconium aspiration and intrauterine growth retardation. The mother was 35 years of age and had three healthy children. She had been diagnosed with gestational hypertension during this pregnancy. The newborn patient weighed 1740 g (10th centile) and his length was 43 cm (25th centile). After birth, he developed respiratory distress and was intubated. Examination revealed postaxial polydactyly …