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Patient with Tetralogy of Fallot Operated at Older Age-A Case Report and Literature Review

成人法洛氏四重症-病例報告及文獻回顧

摘要


法洛氏四重症包含心室中隔缺損、跨位主動脈、肺動脈狹窄以及次發性的右心室肥大。其常見於小兒先天性心臟病但少見於未經手術之成人學,至於五十歲以上則更為罕見。我們報告此一案例,並做文獻回顧。

並列摘要


Tetralogy of Fallot (TOF) is a disease consisting of malalignment of the outlet septum-ventricular septal defect (VSD), aortic override, pulmonary outflow tract stenosis and right ventricular hypertrophy. It is common in pediatric congenital heart disease but rare in un-operated adult especially those older than 50 years of age. We report a male patient with TOF diagnosed at age 56 and successfully operated. This patient was the oldest documented publicly in Taiwan undergoing successful corrective surgery for TOF.

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