Alkashkari Wail, Al-Husayni Faisal, Almaqati Ahmed, AlRahimi Jamilah, Albugami Saad
Cardiology, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Cardiology, King Faisal Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.
Cureus. 2020 Nov 23;12(11):e11658. doi: 10.7759/cureus.11658.
Tetralogy of Fallot (ToF) is considered the most frequent cyanotic congenital heart abnormality with a low adulthood survival rate if kept untreated. The majority of cases are symptomatic during infancy and mandate early treatment. Few instances of survival to asymptomatic middle-age patients have been reported, and they are decreasing due to early detection. We reported a case of a middle-aged man who was asymptomatic during his life and recently diagnosed with ToF. The patient underwent surgical repair with excellent outcomes. The case represents the possibility of diagnosing such cases in a relatively old patient despite medical development and advances.
法洛四联症（ToF）被认为是最常见的青紫型先天性心脏异常，如果不治疗，成年后的生存率较低。大多数病例在婴儿期出现症状，需要早期治疗。仅有少数存活至无症状中年患者的病例报道，且由于早期检测，这类病例正在减少。我们报告了一例中年男性病例，该患者一生中无症状，最近被诊断为法洛四联症。患者接受了手术修复，效果良好。该病例表明，尽管医学有所发展和进步，但仍有可能在相对年长的患者中诊断出此类病例。
