Sousa Pedro, Santos Walter, Marques Nuno, Cordeiro Pedro, Ferrinha Rui, Pereira Salomé, Almeida Ana, Jesus Ilídio
Cardiology Department, Faro Hospital, Rua Leão Penedo, Faro 8000, Portugal.
J Med Case Rep. 2013 Jun 2;7:150. doi: 10.1186/1752-1947-7-150.
Tetralogy of Fallot is one of the most common forms of cyanotic congenital heart disease and in the absence of surgical correction it has an elevated early mortality, with most patients dying in childhood.The authors reported this case because of the unusual course of an uncorrected tetralogy of Fallot. There are only a few reports of patients with an uncorrected tetralogy of Fallot who reach an advanced age and to the best of our knowledge this is the first case report of a possible endocarditis in a patient with an uncorrected tetralogy of Fallot who is older than 70 years.
The authors present a case of a 72-year-old Caucasian woman with uncorrected tetralogy of Fallot who was admitted with fever and heart failure to our Cardiology Department with possible infective endocarditis.
The longevity of this patient is probably due to the association between a large ventricular septal defect, a balanced subpulmonary stenosis and to the presence of systemic hypertension. After empiric antibiotic therapy, the patient was discharged and no surgical intervention was performed due to her previous benign evolution.
法洛四联症是最常见的青紫型先天性心脏病之一，若不进行手术矫正，其早期死亡率会升高，大多数患者会在儿童期死亡。作者报告该病例是因为未矫正的法洛四联症病程异常。仅有少数关于未矫正法洛四联症患者活到高龄的报告，据我们所知，这是首例关于年龄超过70岁的未矫正法洛四联症患者可能发生心内膜炎的病例报告。
作者报告了一例72岁的白种女性，患有未矫正的法洛四联症，因发热和心力衰竭入住心内科，可能患有感染性心内膜炎。
该患者的长寿可能归因于大型室间隔缺损、平衡的肺动脉瓣下狭窄以及系统性高血压的存在。经过经验性抗生素治疗后，患者出院，由于其先前病情发展良好，未进行手术干预。
