Case report and bibliographic review: Tetralogy of Fallot

Authors

DOI:

https://doi.org/10.18537/RFCM.37.02.07

Keywords:

heart defects congenital, Tetralogy of Fallot, bioethical issues, surgical procedures

Abstract

ABSTRACT

Tetralogy of Fallot is the most common cyanotic congenital heart disease and requires early surgical correction, the case of a patient who at six months undergoes palliative pulmonary systemic bypass surgery with modified Blalock Taussing fistula with Goretex graft, his clinical picture does not improve with the passing of the years having to perform surgery of total correction of Tetralogy of Fallot, after which it stabilizes. Upon admission, he presents: dyspnea of ​​medium efforts, asthenia, peribucal and distal cyanosis that yield with rest; in thorax presence of infra axillary scar compatible with previous palliative surgery, heart: rhythmic R1 and R2, phonetic norm, presence of holosystolic murmur in pulmonary focus and left infraclavicular murmur of pulmonary systemic fistula. The chest radiograph shows an increase in cardiothoracic index and vascular congenital and prominent hilus, transthoracic pre-surgical echocardiography is performed where infundibular stenosis is observed due to severe myocardial hypertrophy, maximum gradient of 90 mm / Hg.

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Published

2019-10-02

Issue

Vol. 37 No. 2 (2019): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

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