J Cardiovasc Ultrasound.  2014 Dec;22(4):228-229. 10.4250/jcu.2014.22.4.228.

Severe Form of Tetralogy of Fallot: Late Presentation

• Moustafa S
• Alvarez N
• Connelly M
• Prieur T
• Patton DJ
• Mookadam F

• KMID: 1980429
• DOI: http://doi.org/10.4250/jcu.2014.22.4.228

Abstract

No abstract available.

Keyword

Tetralogy of Fallot; Echocardiography; Magnetic resonance

MeSH Terms

Echocardiography
Tetralogy of Fallot*

Figure

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  Fig. 1 A: Transesophageal echocardiogram (TEE) transgastric view showing dilated right ventricle with significant hypertrophy. B: TEE apical long axis view showing overriding of the ascending aorta with malalignment ventricular septal defect (arrow). C: TEE transgastric view showing hypoplastic right ventricular outflow tract (arrow) with infundibular stenosis. Pulmonic valve is shown (arrowhead). D: TEE modified mid esophageal view showing significant infundibular stenosis (arrow). AO: ascending aorta, LV: left ventricle, PA: pulmonary artery, RV: right ventricle.

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  Fig. 2 A: Cardiac magnetic resonance (CMR) sagittal image showing overriding of the ascending aorta with malalignment ventricular septal defect (arrow). B: CMR sagittal image showing hypoplastic right ventricular outflow tract and proximal main pulmonary artery (arrow). C: CMR angiography showing hypoplastic right ventricular outflow tract, main pulmonary artery (arrow) and right pulmonary artery (RPA) with severely dilated left pulmonary artery (LPA). AO: ascending aorta, LV: left ventricle, PA: pulmonary artery.

Reference

1. Nakamori S, Dohi K, Tanigawa T, Onishi K, Ito M. An anomalous presentation of tetralogy of Fallot with pulmonary atresia surviving to the age of 62 years. Eur Heart J Cardiovasc Imaging. 2013; 14:1119.

2. Nieves ON, López JE. Uncorrected tetralogy of Fallot with agenesis of the left pulmonary artery in a 70-year-old elderly female. Bol Asoc Med P R. 2007; 99:226–229.