Medical Practice and Reviews

  • Abbreviation: Med. Pract. Rev.
  • Language: English
  • ISSN: 2141-2596
  • DOI: 10.5897/MPR
  • Start Year: 2010
  • Published Articles: 44

Case Report

Adult Nigerian with untreated tetralogy of fallot: A case report

Uchenna D. I.
  • Uchenna D. I.
  • Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
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Jesuorobo D. E.
  • Jesuorobo D. E.
  • Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
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Anyalaechi
  • Anyalaechi
  • Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
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  •  Accepted: 25 August 2011
  •  Published: 30 September 2011

Abstract

Tetralogy of fallot (TOF) is the most common form of cyanotic congenital heart disease. Unlike in the western world where adult TOF is a rarity, in the developing countries without cardiac surgical centers and inadequate medical treatment, patients die early, so adult untreated TOF is worth reporting. A 23 year old man presented with chest pains of 18 months, exertional dyspnea, palpitations and a history of squatting since childhood. Examination revealed central cyanosis, Grade 4 digital clubbing, with pansystolic and ejection systolic murmurs over tricuspid and pulmonary areas. However, chest radiograph, electrocardiogram (ECG) and echocardiograms confirmed the tetralogy of fallot.

 

Key words: Adult, tetralogy of fallot, untreated, Nigerian.