The Teaching Point

Adult patients with uncorrected tetralogy of Fallot rarely live beyond the age of 40, with this case of an 87 year old unoperated patient being the oldest and only second octogenarian reported. Morbidity in such patients may stem not only from primary cardiac events, but also secondary neurological deficits incurred by their underlying disease. Along with echocardiography, CT serves as an important modality in investigating congenital cardiac abnormalities of such patients, particularly in defining extracardiac anatomy.






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From the manuscript

Survival to the age of 87 years in a woman with unoperated tetralogy of Fallot

Free full text article: Survival to the age of 87 years in a woman with unoperated tetralogy of Fallot

Abstract
Tetralogy of Fallot is the most common cyanotic congenital heart defect, affecting approximately 2700 infants per year born in the United States. The natural history of the tetralogy reflects the adverse physiologic consequences of the underlying structural abnormalities, with only approximately 3% of uncorrected patients surviving past age 40. In this case report, we report an 87-year-old woman with unoperated tetralogy of Fallot, who we believe to be the oldest and only second octogenarian described in the literature.






References



1. Murphy JG, Gersh BJ, Mair DD, Fuster V, McGoon MD, Ilstrup DM, McGoon DC, Kirklin JW, Danielson GK. Long-Term Outcome in Patients Undergoing Surgical Repair of Tetralogy of Fallot. N Engl J Med 1993 Aug 26;329(9):593-599.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Pinsky WW, Arciniegas E. Tetralogy of Fallot. Pediatr Clin North Am 1990 Feb;37(1):179-92.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Brickner ME, Hillis LD, Lange RA. Congenital heart disease in adults. Second of two parts N Engl J Med
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Blalock A, Taussig HB. Landmark article May 19, 1945: The surgical treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia. By Alfred Blalock and Helen B Taussig
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Hu DC, Seward JB, Puga FJ, Fuster V, Tajik AJ. Total correction of tetralogy of Fallot at age 40 years and older: long-term follow-up. J Am Coll Cardiol 1985 Jan ;5(1):40-4.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Bertranou EG, Blackstone EH, Hazelrig JB, Turner ME, Kirklin JW. Life expectancy without surgery in tetralogy of Fallot. Am J Cardiol 1978 Sep ;42(3):458-66.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. White PD, Sprague HB. Tetralogy of Fallot: Report of a case in noted musician, who lived to his 60th year. JAMA 1929 ;92787-790.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Alonso A, Downey BC, Kuvin JT. Uncorrected tetralogy of Fallot in an 86-year-old patient. Am J Geriatr Cardiol 2007;16(1):38-41.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Makaryus AN, Aronov I, Diamond J, Park CH, Rosen SE, Stephen B. Survival to the age of 52 years in a man with unrepaired tetralogy of Fallot. Echocardiography 2004 Oct ;21(7):631-7.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Yang X, Freeman LJ, Ross C. Unoperated tetralogy of Fallot: case report of a natural survivor who died in his 73rd year; is it ever too late to operate? Postgrad Med J. 2005 Feb ;81(952):133-4.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Leschka S, Oechslin E, Husmann L, Desbiolles L, Marincek B, Genoni M, Pretre R, Jenni R, Wildermuth S, Alkadhi H. Pre- and Postoperative Evaluation of Congenital Heart Disease in Children and Adults with 64-Section CT. Radiographics 2007 May 1;27(3):829-846.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Wang X, Wu L, Sun C, Liu C, Chao B, Han B, Zhang Y, Chen H, Li Z. Clinical application of 64-slice spiral CT in the diagnosis of the Tetralogy of Fallot. European Journal of Radiology 2007 Nov ;64(2):296-301.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Spevak PJ, Johnson PT, Fishman EK. Surgically Corrected Congenital Heart Disease: Utility of 64-MDCT. Am J
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Hörer J, Friebe J, Schreiber C, Kostolny M, Cleuziou J, Holper K, Lange R. Correction of tetralogy of Fallot and of pulmonary atresia with ventricular septal defect in adults. Ann Thorac Surg 2005 Dec ;80(6):2285-91.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Sadiq A, Shyamkrishnan KG, Theodore S, Gopalakrishnan S, Tharakan JM, Karunakaran J. Long-term functional assessment after correction of tetralogy of Fallot in adulthood. Ann Thorac Surg 2007 May ;83(5):1790-5.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Pelech AN, Neish SR. Sudden death in congenital heart disease. Pediatr Clin North Am 2004 Oct ;51(5):1257-71.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Oechslin EN, Harrison DA, Connelly MS, Webb GD, Siu SC. Mode of death in adults with congenital heart disease. Am J Cardiol 2000 Nov 15;86(10):1111-1116.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. DeFilippis AP, Law K, Curtin S, Eckman JR. Blood is thicker than water: the management of hyperviscosity in adults with cyanotic heart disease. Cardiol Rev 2007 ;15(1):31-4.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Perloff J, Marelli A, Miner P. Risk of stroke in adults with cyanotic congenital heart disease. Circulation 1993 Jun 1;87(6):1954-1959.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


20. Ammash N, Warnes CA. Cerebrovascular events in adult patients with cyanotic congenital heart disease. J Am Coll Cardiol 1996 Sep ;28(3):768-72.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


21. Amitai Y, Blieden L, Shemtov A, Neufeld H. Cerebrovascular accidents in infants and children with congenital cyanotic heart disease. Isr J Med Sci 1984 Dec ;20(12):1143-5.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


22. Phornphutkul M, Rosenthal M, MDAlex, Nadas ES, Berenberg M. Cerebrovascular accidents in infants and children with cyanotic congenital heart disease. Am J Cardiol 1973 ;32(3):329-334.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


23. Geva T, Frand M, Benjamin P, Hegesh J. Cerebral embolization from an inferior vena cava thrombus in tetralogy of Fallot. Pediatr Cardiol 1990 Jan ;11(1):44-6.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




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