Incidental Diagnosis After a Car Accident: A Rare Case of Asymptomatic Uncorrected Tetralogy of Fallot.

Autor: Verdoia M; Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy.; Division of Cardiology, Ospedale Maggiore della Carità, Università del Piemonte Orientale, Novara, Italy., Gioscia R; Division of Cardiology, Ospedale Maggiore della Carità, Università del Piemonte Orientale, Novara, Italy., Soldà PL; Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy., Marrara F; Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy., Xhyheri B; Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy., Leuzzi S; Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy., De Luca G; Division of Cardiology, Ospedale Maggiore della Carità, Università del Piemonte Orientale, Novara, Italy., Masia C; Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy., Spagarino E; Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy., Pascu ME; Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy., Colageo U; Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy., Marcolongo M; Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2020 Dec 16; Vol. 2 (15), pp. 2289-2294. Date of Electronic Publication: 2020 Dec 16 (Print Publication: 2020).
DOI: 10.1016/j.jaccas.2020.09.017
Abstrakt: Tetralogy of Fallot (TOF) is a heterogeneous congenital heart disease that is occasionally diagnosed during adulthood. However, although they are often asymptomatic, adult patients with uncorrected TOF often have a poor prognosis. Poor outcomes indicate the importance of the identification and management of these patients, especially in the context of intercurrent disease or noncardiac surgery. We describe a case of clinically silent TOF in a 51-year-old woman. TOF was unmasked during a major noncardiac surgery for a polytrauma and successfully treated with the cooperation of a multidisciplinary team. ( Level of Difficulty: Advanced. ).
Competing Interests: The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2020 The Authors.)
Databáze: MEDLINE