Surgical repair of tetralogy of Fallot in a 78-year-old woman: a case report

Tetralogy of Fallot is a congenital heart disease mostly diagnosed and treated in early childhood. However, there are some adult cases receiving treatment. We describe a 78-year-old Japanese woman who presented with severely hypertrophic right ventricle, ventricular septum defect, overriding aorta,...

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Bibliographic Details
Published in:Journal of medical case reports 2024-03, Vol.18 (1), p.128-128, Article 128
Main Authors: Katayama, Yuzo, Isobe, Sho, Ozawa, Tsukasa, Fujii, Takeshiro
Format: Article
Language:English
Subjects:
Adult
Adult congenital heart disease
Adults
Aged
Birth defects
Blood
Case Report
Case reports
Child, Preschool
Congenital diseases
Coronary vessels
Cyanosis
Dyspnea
Endocarditis
Endocarditis, Bacterial
Female
Genetic disorders
Heart failure
Humans
Hypertension
Hypoxemia
Hypoxia
Infections
Infective endocarditis
Magnetic resonance imaging
Medical diagnosis
Medical examination
Medical treatment
Mortality
Oxygen
Patients
Pulmonary arteries
Surgery
Surgical outcomes
Tetralogy of Fallot
Tetralogy of Fallot - surgery
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Summary:Tetralogy of Fallot is a congenital heart disease mostly diagnosed and treated in early childhood. However, there are some adult cases receiving treatment. We describe a 78-year-old Japanese woman who presented with severely hypertrophic right ventricle, ventricular septum defect, overriding aorta, and severe infundibular stenosis in the right ventricular outflow tract. As hypoxemia was mild and daily exertion was sufficiently possible, home oxygen therapy was introduced. After 1 month, she was referred because of a positive blood culture. The blood culture test was positive four times, therefore, the antibacterial drug was administered according to active infective endocarditis. SpO repeatedly decreased during hospitalization, thus oxygen was needed. As there were infective endocarditis onset and progressive hypoxemia, we planned a surgical correction. Tetralogy of Fallot was diagnosed and successfully treated with complete surgical correction, and the development of infective endocarditis was the definitive indication for surgery at this late age.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-024-04414-5