Abstract
Tetralogy of Fallot (TOF) is a congenital heart disease that is usually diagnosed and treated during infancy. Only 3% of such patients reach the age of 40 without surgery. We describe a 61-year-old woman with uncorrected TOF that was successfully treated by radical surgery. The patient presented with exertional dyspnea, insomnia, and malaise. Echocardiography and cardiac catheterization indicated a dilated, severely hypertrophic right ventricle, ventricular septal defect, an overriding aorta, and infundibular stenosis in the right ventricular outflow tract. All symptoms disappeared after full surgical correction, which remains the preferred treatment for adult TOF because it confers long-term survival and an improved quality of life.
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References
Bertranou EG, Blackstone EH, Hazelrig JB, Turner ME, Kirklin JW. Life expectancy without surgery in tetralogy of Fallot. Am J Cardiol 1978;42:458–466.
Fallot A. Contribution a l’anatomie pathologique de la maladie bleue (cyanose cardiaque). Marseille Med 1888;25:77–93.
Groh MA, Meliones JN, Bove EL, Kirklin JW, Blackstone EH, Lupinetti FM, et al. Repair of tetralogy of Fallot in infancy: effect of pulmonary artery size on outcome. Circulation 1991;84(suppl):III206–III212.
Derby CD, Pizarro C. Routine primary repair of tetralogy of Fallot in the neonate. Expert Rev Cardiovasc Ther 2005;3:857–863.
Hu DC, Seward JB, Puga FJ, Fuster V, Tajik AJ. Total correction of tetralogy of Fallot at age 40 years and older: long-term follow-up. J Am Coll Cardiol 1985;5:40–44.
Dittrich S, Vogel M, Dahnert I, Berger F, Alexi-Meskishvili V, Lange PE. Surgical repair of tetralogy of Fallot in adults today. Clin Cardiol 1999;22:460–464.
Nollert G, Fischlein T, Bouterwek S, Bohmer C, Dewald O, Kreuzer E, et al. Long-term results of total repair of tetralogy of Fallot in adulthood: 35 years follow-up in 104 patients corrected at the age of 18 or older. Thorac Cardiovasc Surg 1997;45:178–181.
Horer J, Friebe J, Schreiber C, Kostolny M, Cleuziou J, Holper K, et al. Correction of tetralogy of Fallot and of pulmonary atresia with ventricular septal defect in adults. Ann Thorac Surg 2005;80:2285–2291.
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Tsubota, H., Nakamura, T. Surgical correction of tetralogy of Fallot in a 61-year-old patient. Gen Thorac Cardiovasc Surg 60, 161–163 (2012). https://doi.org/10.1007/s11748-011-0799-8
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DOI: https://doi.org/10.1007/s11748-011-0799-8