Tetralogy of fallot in the elderly

Abstract

Summary:Tetralogy of Fallot was first diagnosed during life in this patient at the age of 61 years. He represents one of the oldest reported patients with this congenital heart anomaly. This report presents a case of a previously undiagnosed patient with tetralogy of Fallot.

Uncorrected Tetralogy of Fallot in a 25-Year Old Nigerian African

“…Another factor identified is that of left ventricular hypertrophy10 as seen in our patient who had a inter-ventricular wall thickness of 14 mm in diastole. It is said that left ventricular hypertrophy acts by delaying the shunting of blood from the right to left ventricle 11. The third factor is extracardiac shunting including patent ductus arteriosus or systemic to pulmonary shunting through internal mammaries 12.…”

An extraordinary survival at the age of 67 years in an unoperated case tetralogy of Fallot presenting as systemic hypertension despite RV dysfunction

“…Another reason is the development of left ventricular hypertrophy that occurs in some cases with prolonged survival, which may act as a balancing factor in the degree of interventricular shunting and could decrease the amount of a right-to-left shunt 12. In our case, echocardiography showed left ventricular hypertrophy due to the presence of systemic hypertension which was seen in this case, but there was no extracardiac shunt.…”

Tetralogy of Fallot May Escape Attention Even in Pregnancy: a Late Presenting Case of a Multiparous Woman

“…The hemodynamic changes during pregnancy may affect the course of the tetralogy of Fallot by increasing cardiac output and reducing systemic vascular resistance and blood pressure. These changes may worsen the patient's hemodynamic status but some instances, such as the presence of an extracardiac shunt, like patent ductus arterosus (PDA), or systemic to pulmonary artery shunts, which contribute to blood supply to pulmonary circulation, and development of left ventricular hypertrophy may act as balancing factors against the right to left shunt (10). In our patient, cyanosis developed gradually.…”