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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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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creator Garcia Brás, Pedro
Branco Mano, Tânia
Sousa, Lídia
description 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.
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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. 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source Cambridge Journals Online
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
title Unrepaired tetralogy of Fallot in the adult: an unexpected diagnosis
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