Unrepaired tetralogy of Fallot in the adult: an unexpected diagnosis

A 40-year-old female is admitted for paroxysmal episodes of exertional dyspnoea, with associated cyanosis, improving with squatting, and a holosystolic murmur radiating to the interscapular area. Echocardiography showed a subaortic ventricular septal defect with left-to-right shunt and overriding ao...

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Bibliographic Details
Published in:Cardiology in the young 2023-02, Vol.33 (2), p.323-324
Main Authors: Garcia Brás, Pedro, Branco Mano, Tânia, Sousa, Lídia
Format: Article
Language:English
Subjects:
Adult
Aorta
Cardiology
Cardiovascular disease
Congenital diseases
Coronary vessels
Cyanosis
Dyspnea
Echocardiography
Female
General Cardiology
Heart
Heart rate
Heart Septal Defects, Ventricular - complications
Heart Septal Defects, Ventricular - diagnostic imaging
Humans
Magnetic resonance
Oxygen saturation
Patients
Pulmonary arteries
Respiration
Sinuses
Tetralogy of Fallot
Tetralogy of Fallot - complications
Tetralogy of Fallot - diagnosis
Tetralogy of Fallot - surgery
Ultrasonic imaging
Veins & arteries
Ventricle
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Summary:A 40-year-old female is admitted for paroxysmal episodes of exertional dyspnoea, with associated cyanosis, improving with squatting, and a holosystolic murmur radiating to the interscapular area. Echocardiography showed a subaortic ventricular septal defect with left-to-right shunt and overriding aorta. The characteristic murmur prompted us to seek right ventricular outflow tract obstruction. Magnetic resonance was performed, confirming Tetralogy of Fallot, and corrective surgery was performed.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951122001779