Unoperated tetralogy of Fallot in a 68-year-old patient [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2008; 36(3): 175-177

Unoperated tetralogy of Fallot in a 68-year-old patient

Mehmet Yokuşoğlu, Cem Köz, Oben Baysan, Nezihi Barış
Department of Cardiology, Gülhane Miltary Medical School, Ankara

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease, generally treated with total correction within the first two years of life. Occasionally, some unoperated cases can reach older ages. A 68-year-old woman with diabetes mellitus presented with swelling in legs and abdomen, weakness, exertional dyspnea, and orthopnea. On physical examination, she had mild cyanosis with clubbing. Her blood pressure was 110/60 mmHg and pulse rate was 79 beat/min. She had a systolic ejection murmur and bilateral rales on basal lung areas. Massive edema was noted in both lower limbs. Electrocardiography showed atrial fibrillation with normal ventricular response. Chest radiography showed an increased cardiothoracic ratio and bilateral minimal pleural effusion. Echocardiography showed biatrial dilatation (right atrium 62 mm, left atrium 49 mm) and thickening of left ventricular walls. There was right ventricular hypertrophy with decreased systolic function. A very large ventricular septal defect and severe pulmonary stenosis were noted. The patient did not accept any interventional procedure. To our knowledge, this is the oldest unoperated TOF case reported from our country.

Keywords: Aged, echocardiography, tetralogy of Fallot/diagnosis.

How to cite this article
Mehmet Yokuşoğlu, Cem Köz, Oben Baysan, Nezihi Barış. Unoperated tetralogy of Fallot in a 68-year-old patient. Turk Kardiyol Dern Ars. 2008; 36(3): 175-177

Corresponding Author: Mehmet Yokuşoğlu, Türkiye
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