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Unrepaired tetralogy of Fallot in the adult: an unexpected diagnosis

Published online by Cambridge University Press:  22 June 2022

Pedro Garcia Brás Open the ORCID record for Pedro Garcia Brás [Opens in a new window] ,
Tânia Branco Mano Open the ORCID record for Tânia Branco Mano [Opens in a new window]  and
Lídia Sousa
Pedro Garcia Brás*
Affiliation:
Department of Cardiology, Santa Marta Hospital, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
Tânia Branco Mano
Affiliation:
Department of Cardiology, Santa Marta Hospital, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
Lídia Sousa
Affiliation:
Department of Cardiology, Santa Marta Hospital, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
*
Author for correspondence: Pedro Garcia Brás, Department of Cardiology, Santa Marta Hospital, Centro Hospitalar Universitário de Lisboa Central, Rua de Santa Marta, n. 50, 1169-024 Lisbon, Portugal. Tel: +351913367020. E-mail: pedrobras3@gmail.com
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Abstract

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.

Keywords

Tetralogy of Fallotadult CHDphysical examinationcardiac magnetic resonance
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 2 , February 2023 , pp. 323 - 324
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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