Department of Cardiology, Santa Marta Hospital, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Cardiol Young. 2023 Feb;33(2):323-324. doi: 10.1017/S1047951122001779. Epub 2022 Jun 22.
A 40-year-old female is admitted for paroxysmal episodes of exertional dyspnoea, with associated cyanosis, improving with squatting, and a holosystolic murmur radiating to the interscapular area. Echocardiography showed a subaortic ventricular septal defect with left-to-right shunt and overriding aorta. The characteristic murmur prompted us to seek right ventricular outflow tract obstruction. Magnetic resonance was performed, confirming Tetralogy of Fallot, and corrective surgery was performed.
一位 40 岁女性因运动时呼吸困难的阵发性发作而入院，伴有发绀，下蹲后改善，全收缩期杂音放射至肩胛间区。超声心动图显示主动脉瓣下室间隔缺损伴左向右分流和主动脉瓣上嵴。特征性杂音提示我们寻找右心室流出道梗阻。磁共振成像证实为法洛四联症，并进行了矫正手术。
