Late Discovery: Uncovering Tetralogy of Fallot in Adulthood-A Case Report

Hanaa El Ghiati *

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Fatima Ekhya Amoumoune

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Hafsa Lokman

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Jihane Fagouri

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Meryem Bennani

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Sara Ahchouch

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

I.Assfalou

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Mahdi Bamous

Department of Cardiac Surgery, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Younes Moutaqillah

Department of Cardiac Surgery, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

Aatif Benyass

Department of Cardiology, Cardiology Center, Mohammed V Military Training Hospital, Rabat, Morocco.

*Author to whom correspondence should be addressed.


Abstract

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 report the case of a 44-year-old trisomic male, with poor socioeconomic conditions, with an illness-free past medical history presented for preoperative cardiac assessment for cholecystistis. Tetralogy of Fallot was fortuitously discovered and the patient underwent total correction of ToF. In the immediate post-operative period; the patient presented a complete atrioventricular block, for which a double chamber pacemaker was implanted.  Echocardiographic follow-up showed no residual shunt, no pulmonary insufficiency. Our patient had an excellent post-operative and six-months follow-up profile. Thorough physical examination of newborns and a screening echo in the early life may aid in detecting the disease earlier.

Keywords: cholecystistis, Tetralogy of fallot, dyspnea, blood pressure


How to Cite

Ghiati, Hanaa El, Fatima Ekhya Amoumoune, Hafsa Lokman, Jihane Fagouri, Meryem Bennani, Sara Ahchouch, I.Assfalou, Mahdi Bamous, Younes Moutaqillah, and Aatif Benyass. 2024. “Late Discovery: Uncovering Tetralogy of Fallot in Adulthood-A Case Report”. Asian Journal of Case Reports in Medicine and Health 7 (1):146-50. https://journalajcrmh.com/index.php/AJCRMH/article/view/202.