Auslender Jacques, Jahjah Liliane, Morissens Marielle
Cardiology Department, Centre Hospitalier Universitaire Brugmann et Centre Hospitalier Universitaire Saint-Pierre, Université Libre de Bruxelles, Belgium.
Acta Cardiol. 2012 Jun;67(3):347-50. doi: 10.1080/ac.67.3.2160726.
Tetralogy of Fallot is the most frequent cyanotic congenital heart disease. Usually, the condition is diagnosed and treated during the first year of life. Few reports of uncorrected tetralogy of Fallot reaching adulthood are found in the literature. Occasionally the pulmonary obstruction is relatively mild and the presentation is with minimal cyanosis. This particular situation is called "pink tetralogy" or "acyanotic tetralogy". For these adults surgical repair is still recommended, since the results of surgery are good and the operative risk is low. We report the case of a 55-year-old man with an uncorrected acyanotic tetralogy of Fallot diagnosed after right cardiac failure triggered by an acute onset of malaria.
法洛四联症是最常见的青紫型先天性心脏病。通常，该病在出生后第一年内被诊断并接受治疗。文献中很少有关于未经矫正的法洛四联症患者成年后的报道。偶尔，肺动脉梗阻相对较轻，临床表现为轻度青紫。这种特殊情况被称为“粉色四联症”或“无青紫型四联症”。对于这些成年人，仍建议进行手术修复，因为手术效果良好且手术风险较低。我们报告一例55岁男性患者，因急性疟疾发作引发右心衰竭后，被诊断为未经矫正的无青紫型法洛四联症。
