Uncorrected pink tetralogy of Fallot in an adult patient: Incidental CT findings

Siriapisith, Thanongchai; Wasinrat, Jitladda; Tresukosol, Damras

doi:10.1016/j.jcct.2009.08.002

Cited by 7 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pink TOF is TOF without cyanosis and is a rare entity that occurs in patients with small VSD and mild pulmonary arterial hypertension. 8 However, our patient had quite a high transpulmonary valvular gradient (Figure , E).…”

Section: Discussionmentioning

confidence: 60%

Neurosurgical Emergency in an Adult With Single Ventricle Physiology: A Case Report

Depuru¹,

Lazar²,

Naik³

et al. 2022

A&A Practice

View full text Add to dashboard Cite

The anesthetic management of a patient with uncorrected congenital heart disease presenting for noncardiac surgery is quite challenging. When this becomes a neurosurgical emergency, the need to balance cerebral and complex circulatory physiologies tests the anesthesiologist’s preparedness. The principal clinical challenges we faced were preventing increases in intracranial pressure while maintaining the circulatory physiology using the “cardiac grid” approach to hemodynamic management in a case of acyanotic double outlet right ventricle with a posterior fossa space-occupying lesion. Point of care preoperative echocardiography enabled us to understand the altered circulatory physiology and successfully manage this patient.

show abstract

Section: Discussionmentioning

confidence: 60%

Neurosurgical Emergency in an Adult With Single Ventricle Physiology: A Case Report

Depuru¹,

Lazar²,

Naik³

et al. 2022

A&A Practice

View full text Add to dashboard Cite

show abstract

“…Congestive cardiac failure was the clinical presentation in an 85-year-old man [ 7 ] and a 67-year-old man [ 8 ]. Nonspecific chest pain with dyspnea was the presenting symptoms in a 47-year-old man [ 9 ]. Our patient was paucisymptomatic, and the diagnosis was made incidentally.…”

Section: Discussionmentioning

confidence: 99%

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

Hakim,

Benothman,

Mekki

et al. 2023

Egypt Heart J

View full text Add to dashboard Cite

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.

show abstract

“…In TOF, cyanosis is caused by limitation blood to the lungs combined with VSD results in oxygen-poor blood supply from rigth to left shunt due to high pressure in right ventricle from pulmonary stenosis. If the pulmonary stenosis is mild with balance shunting direction in the VSD, the clinical presentation usually less cyanotic (Siriapisith et al, 2010). There are two management approaches for TOF:…”

Section: Introductionmentioning

confidence: 99%

Increased Mortality Rate in Patient with Frothy Sputum After Tof Total Correction Surgery

Wardoyo

Susanti²,

Yasta³

et al. 2022

JRSSEM

View full text Add to dashboard Cite

Tetralogy of Fallot (TOF) is the most common congenital heart disease. The most common risk factor for TOF is Down syndrome(DS). There are two management approaches for TOF: medication and operation. Operation/surgical treatment is consisted of palliative shunt and definitive repair. In several case patients with TOF develop collaterals or major aortopulmonary collateral arteries (MAPCAs), which can lung overflow can be initiated after surgery procedure was completed. This causes the CPB time in the repair operation to be long so that the risk of RV/LV dysfunction due to ischemic use of the CPB machine is very high. Frothy sputum is the one of signs of lung injury that related to left and/or right ventricular dysfunction, it may increased mortality in patients TOF repaired. The aim of this study was to identify frothy sputum associated with mortality in patient repaired of TOF. This study is cross-sectional study. We collect data retrospectively through medical record list from 2019 to 2020. In our study, there were 32 patients data included, consisted with more dominant male (n = 22) compare to female (n = 10). It was found that 7 female patients and 9 male patients experienced frothy sputum after TOF repair surgery. There are association not only mortality (p-value 0.033) but also frothy sputum with pulmonary regurgitation (p-value 0.049). Although any result of the study and weakness described previously, the study can be as basis for futher research so that an appropiate guideline can be established to deal frothy sputum in patients TOF repaired.

show abstract

Uncorrected pink tetralogy of Fallot in an adult patient: Incidental CT findings

Cited by 7 publications

References 9 publications

Neurosurgical Emergency in an Adult With Single Ventricle Physiology: A Case Report

Neurosurgical Emergency in an Adult With Single Ventricle Physiology: A Case Report

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

Increased Mortality Rate in Patient with Frothy Sputum After Tof Total Correction Surgery

Contact Info

Product

Resources

About