Uncorrected tetralogy of Fallot: Adult presentation in the 61st year of life

被引：12

作者：

Fairley, Sarah L. ^{[1
]}

Sands, Andrew J. ^{[2
]}

Wilson, Carol M. ^{[1
]}

机构：

[1] Royal Victoria Hosp, Reg Med Cardiol Ctr, Belfast BT12 6BA, Antrim, North Ireland

[2] Royal Belfast Hosp Sick Children, Dept Paediat Cardiol, Belfast BT12 6BA, Antrim, North Ireland

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2008年 / 128卷 / 01期

关键词：

tetralogy of Fallot; myocarditis; cyanotic congenital heart disease;

D O I：

10.1016/j.ijcard.2007.04.155

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Tetralogy of Fallot (TOF) is the commonest form of cyanotic congenital heart defect after infancy [Brickner ME, Hillis LD, Lange RA. Congenital Heart Disease in Adults-Second of Two Parts. NEJM 2000; 342( 5): 334-342.]. There are few studies assessing the risk of surgical correction in adult patients and long-term survival into the fourth decade of life is rare. The case history is described of a 61-year old female presenting with probable viral myocarditis. Subsequent investigations revealed an underlying diagnosis of tetralogy of Fallot. The patient remains asymptomatic despite persistent hypoxia. Potential factors contributing to longevity in this case are relatively good pulmonary blood flow via large branch pulmonary arteries, and the possible gradual development of right ventricular outflow tract obstruction over a long time period. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：E9 / E11

页数：3

共 6 条

[1]

Amorim Sandra, 2005, Rev Port Cardiol, V24, P845

[2] Congenital heart disease in adults - (Second of two parts). [J].

Brickner, ME ;

Hillis, LD ;

Lange, RA .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (05) :334-342

[3]

Derby Christopher D, 2005, Expert Rev Cardiovasc Ther, V3, P857, DOI 10.1586/14779072.3.5.857

[4]

GROH MA, 1991, CIRCULATION, V84, P206

[5] Correction of tetralogy of Fallot and of pulmonary atresia with ventricular septal defect in adults [J].

Hörer, J ;

Friebe, J ;

Schreiber, C ;

Kostolny, M ;

Cleuziou, J ;

Holper, K ;

Lange, R .

ANNALS OF THORACIC SURGERY, 2005, 80 (06) :2285-2292

[6] LONG-TERM OUTCOME IN PATIENTS UNDERGOING SURGICAL REPAIR OF TETRALOGY OF FALLOT [J].

MURPHY, JG ;

GERSH, BJ ;

MAIR, DD ;

FUSTER, V ;

MCGOON, MD ;

ILSTRUP, DM ;

MCGOON, DC ;

KIRKLIN, JW ;

DANIELSON, GK .

NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (09) :593-599

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