Late Discovery: Uncovering Tetralogy of Fallot in Adulthood-A Case Report
Published: 2024-10-01
Page: 146-150
Issue: 2024 - Volume 7 [Issue 1]
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