Riverside University Health Systems, Moreno Valley, CA, USA.
Loma Linda University Medical Center, Loma Linda, CA, USA.
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620926908. doi: 10.1177/2324709620926908.
Tetralogy of Fallot is the most common cyanotic congenital heart defect consisting of an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. Without surgical management, approximately only 3% of patients survive past the age of 40 years. Cases of unoperated patients reaching adulthood have been reported; however, few studies describe treatment guidelines for surgical or therapeutic management. In this article, we report the case of a 59-year-old Hispanic male with unoperated tetralogy of Fallot presenting to our cardiology clinic for initial workup and management.
法洛四联症是最常见的发绀型先天性心脏缺陷，由主动脉骑跨、右心室流出道梗阻、室间隔缺损和右心室肥厚组成。未经手术治疗，约只有 3%的患者能存活至 40 岁以上。有报道称未经手术的成年患者病例，但很少有研究描述手术或治疗管理的治疗指南。本文报告了一例 59 岁的西班牙裔男性，患有未经手术治疗的法洛四联症，因初始检查和治疗而到我院心内科就诊。
