An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report

Rayamajhi, Sushil; Shahi, Kopila; Garg, Tulika; Dey, Shraboni; Adhikari, Bibek; Mahaseth, Aditya

doi:10.1016/j.radcr.2022.09.062

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…Our patient was paucisymptomatic, and the diagnosis was made incidentally. Unlike our patient, most of the reported patients with unoperated TOF were aware of the disease, and they refused surgical intervention earlier [ 7 , 10 ]. It is worth noticing that only a few patients with TOF, estimated at 5% in one series [ 11 ], do not develop central cyanosis, as is the case with our patient.…”

Section: Discussionmentioning

confidence: 74%

“…Arterial hypertension was present in our case. It was also reported in two patients with unrepaired TOF aged over 60 years [ 8 , 10 ]. ACE inhibitors were prescribed in both cases [ 8 , 10 ].…”

Section: Discussionmentioning

confidence: 77%

“…It was also reported in two patients with unrepaired TOF aged over 60 years [ 8 , 10 ]. ACE inhibitors were prescribed in both cases [ 8 , 10 ]. Our case is unique since our patient underwent total thyroidectomy with no postoperative complications, and she delivered four times with no complications.…”

Section: Discussionmentioning

confidence: 77%

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Paucisymptomatic Tetralogy of Fallot diagnosed in a 56-year-old patient: a case report

Hakim,

Benothman,

Mekki

et al. 2023

Egypt Heart J

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Background Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. It is generally diagnosed and surgically repaired early in life, with good overall outcomes. Case presentation We report the case of a patient incidentally diagnosed with paucisymptomatic TOF at the age of 56 years old, during investigations for carbon monoxide poisoning. The patient had a history of thyroidectomy, arterial hypertension, and four uncomplicated vaginal deliveries. Conclusions This case shows us that some patients with TOF can reach older ages without surgical correction. Late surgical repair should be meticulously decided on a case basis.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 77%

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Paucisymptomatic Tetralogy of Fallot diagnosed in a 56-year-old patient: a case report

Hakim,

Benothman,

Mekki

et al. 2023

Egypt Heart J

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“…Very few case reports of these uncorrected TOF in an adult patient are present in the medical literature [ 11 , 12 ]. As our patient denied surgery and he was hemodynamically stable, hemoptysis was treated by BAE and continued on conservative medical management.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Hemoptysis in an Adult Patient With an Unfamiliar Cause

Darbari¹,

Mishra²,

Abisho³

et al. 2023

Cureus

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“…The patient had mild symptoms and preferred conservative management. ToF is a congenital heart anomaly that typically manifests in infancy or early childhood, although there are rare cases where it may be diagnosed after adolescence or even in the elderly 7,9–20 (Table 1). An autopsy on patients with ToF revealed that the survival rate without surgery was 66% for those who reached 1 year of age, but dropped to less than 3% for those in their 40s or older 5 .…”

Section: Discussionmentioning

confidence: 99%

Unrepaired tetralogy of Fallot in a 71 years old woman: A case report and review of the literature

Ghaderi,

Kazemi,

Jafari‐Nozad

2023

Echocardiography

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Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease (CHD) in infants. The four components that constitute ToF are an overriding aorta over the crest of the interventricular septum, obstruction in the right ventricular outflow tract, right ventricular hypertrophy, and a typically large non‐restricted ventricular septal defect. ToF may also be associated with other extracardiac abnormalities, including patent ductus arteriosus or multiple aortopulmonary collateral arteries, which can impact the patient's survival. Patients with unoperated ToF rarely reach adulthood, and it is extremely rare to discover undiagnosed ToF in individuals over 60 years old. In this report, we describe an unusual case of a woman with unrepaired ToF who survived until the age of 71. She was fairly asymptomatic until the 7th decade of her life and complained only of dyspnea on exertion. The patient declined corrective cardiac surgery and preferred conservative management.

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An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report

Cited by 5 publications

References 10 publications

Paucisymptomatic Tetralogy of Fallot diagnosed in a 56-year-old patient: a case report

Paucisymptomatic Tetralogy of Fallot diagnosed in a 56-year-old patient: a case report

Recurrent Hemoptysis in an Adult Patient With an Unfamiliar Cause

Unrepaired tetralogy of Fallot in a 71 years old woman: A case report and review of the literature

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