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European Journal of Echocardiography 2008 9(1):167-170; doi:10.1016/j.euje.2007.06.009
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

A case of 75-year-old survivor of unrepaired tetralogy of Fallot and quadricuspid aortic valve

Cristina Maria Stanescu{dagger} and Kyriaki Branidou*,{dagger}

Colentina University Hospital Bucharest, Romania

Received 12 March 2007; accepted after revision 20 June 2007; online publish-ahead-of-print 24 August 2007.

* Corresponding author. Maior Alexandru Campeanu nr 66, Bloc 37, sc. A, ap.12, Bucharest, Romania. Tel: +40 722885908. E-mail address: corinamgr{at}yahoo.com


   Abstract

In tetralogy of Fallot (TOF), the most common form of cyanotic congenital heart disease, only a few patients reach adulthood without surgical correction. We present the case of a man with TOF who survived until the age of 75 years without surgical intervention and had a very unusual combination of TOF and quadricuspid aortic valve (QAV). QAV, complicated by aortic regurgitation, is an uncommon finding in TOF patients. The hemodynamic consequences for both the right and left ventricles are significant. This case provides a rare insight into the late outcome of an elderly patient with uncorrected TOF.

Keywords: Tetralogy of Fallot; Quadricuspid aortic valve


{dagger} C. M. Stanescu and K. Branidou contributed equally to this article and thus share first authorship.


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