Jariwala Pankaj, Kale Satya Sridhar, Sepur Lakshmana, Padma Kumar Edla Arjun
1 Department of Cardiology, Maxcure-Mediciti Hospitals, Hyderabad, Telangana, India.
2 Department of Cardiothoracic Surgery, Maxcure-Mediciti Hospitals, Hyderabad, Telangana, India.
Asian Cardiovasc Thorac Ann. 2017 Sep-Oct;25(7-8):534-536. doi: 10.1177/0218492317717420. Epub 2017 Jun 16.
Cases of uncorrected adult tetralogy of Fallot are rare and mostly manifest secondary to complications. A 30-year-old man presented with progressive breathlessness and severe chest discomfort. Echocardiography revealed tetralogy of Fallot with a left ventricular apical clot and DeBakey type I dissection of the aorta. The patient underwent successful surgical correction. The combination of preoperative complications in the setting of uncorrected tetralogy of Fallot, such as a left ventricular clot and DeBakey type I dissection of the aorta, is very rare.
未经矫正的成人法洛四联症病例罕见，大多继发于并发症。一名30岁男性出现进行性呼吸困难和严重胸痛。超声心动图显示法洛四联症合并左心室心尖部血栓及主动脉DeBakey I型夹层。该患者接受了成功的手术矫正。在未经矫正的法洛四联症情况下，术前出现左心室血栓和主动脉DeBakey I型夹层等并发症的组合非常罕见。
