An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report
Tetralogy of Fallot is the most common cyanotic congenital heart disease in children which comprises an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. It has an elevated early mortality rate without surgical correction, with mos...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322008330 |
| _version_ | 1828338403161145344 |
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| author | Sushil Rayamajhi, MBBS Kopila Shahi, MBBS Tulika Garg, MBBS Shraboni Dey, MBBS, MD Bibek Adhikari, MBBS, MD Aditya Mahaseth, MBBS, MD, DM (Cardiology) |
| author_facet | Sushil Rayamajhi, MBBS Kopila Shahi, MBBS Tulika Garg, MBBS Shraboni Dey, MBBS, MD Bibek Adhikari, MBBS, MD Aditya Mahaseth, MBBS, MD, DM (Cardiology) |
| author_sort | Sushil Rayamajhi, MBBS |
| collection | DOAJ |
| description | Tetralogy of Fallot is the most common cyanotic congenital heart disease in children which comprises an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. It has an elevated early mortality rate without surgical correction, with most patients dying in childhood. Only 2% of patients survive past the age of 40 years without surgical intervention. Very few cases of survival to middle age have been reported, particularly after the fourth decade. In this article, we present a case of a 66-year-old male with an unoperated tetralogy of Fallot, which is one of the longest time periods of diagnosis. Despite tetralogy and having right ventricular dysfunction, this patient presented with fatigue, exertional dyspnea, cyanosis, and systemic hypertension. Considering the patient's comorbid conditions and the risk associated with the surgery, the patient was managed conservatively. To our knowledge, this is the oldest unoperated tetralogy of Fallot case reported in Nepal. |
| first_indexed | 2024-04-13T22:27:25Z |
| format | Article |
| id | doaj.art-0428e00565c64a76b48e71ffacae1cf8 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-13T22:27:25Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-0428e00565c64a76b48e71ffacae1cf82022-12-22T02:27:01ZengElsevierRadiology Case Reports1930-04332022-12-01171249034906An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case reportSushil Rayamajhi, MBBS0Kopila Shahi, MBBS1Tulika Garg, MBBS2Shraboni Dey, MBBS, MD3Bibek Adhikari, MBBS, MD4Aditya Mahaseth, MBBS, MD, DM (Cardiology)5Department of Internal Medicine, Swacon International Hospital, Battisputali, Kathmandu, Nepal; Corresponding author.Department of Internal Medicine, ZH Sikder Women's Medical College, Dhaka, BangladeshDepartment of Internal Medicine, Government Medical College and Hospital, Chandigarh, IndiaDepartment of Internal Medicine, Holy Family Red Crescent Medical College Hospital, Dhaka, BangladeshDepartment of Internal Medicine, Nepal Cancer Hospital and Research Center, Lalitpur, NepalDepartment of Cardiology, Shahid Gangalal National Heart Center, Janakpur, NepalTetralogy of Fallot is the most common cyanotic congenital heart disease in children which comprises an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. It has an elevated early mortality rate without surgical correction, with most patients dying in childhood. Only 2% of patients survive past the age of 40 years without surgical intervention. Very few cases of survival to middle age have been reported, particularly after the fourth decade. In this article, we present a case of a 66-year-old male with an unoperated tetralogy of Fallot, which is one of the longest time periods of diagnosis. Despite tetralogy and having right ventricular dysfunction, this patient presented with fatigue, exertional dyspnea, cyanosis, and systemic hypertension. Considering the patient's comorbid conditions and the risk associated with the surgery, the patient was managed conservatively. To our knowledge, this is the oldest unoperated tetralogy of Fallot case reported in Nepal.http://www.sciencedirect.com/science/article/pii/S1930043322008330Tetralogy of FallotCongenital heart diseaseCyanosismanagementUnoperated |
| spellingShingle | Sushil Rayamajhi, MBBS Kopila Shahi, MBBS Tulika Garg, MBBS Shraboni Dey, MBBS, MD Bibek Adhikari, MBBS, MD Aditya Mahaseth, MBBS, MD, DM (Cardiology) An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report Radiology Case Reports Tetralogy of Fallot Congenital heart disease Cyanosis management Unoperated |
| title | An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report |
| title_full | An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report |
| title_fullStr | An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report |
| title_full_unstemmed | An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report |
| title_short | An exceptional survival in an unoperated tetralogy of Fallot in a 66-year-old man: A case report |
| title_sort | exceptional survival in an unoperated tetralogy of fallot in a 66 year old man a case report |
| topic | Tetralogy of Fallot Congenital heart disease Cyanosis management Unoperated |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322008330 |
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