Unoperated tetralogy of fallot: A natural survivor who refused for surgery at the age of 42 years – Was it ever too late to operate?

Ravisagar Patel, Abhinav Singh, R. Mathur
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Abstract

Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. Survival after the age of 12 years without corrective surgery is rare. We present a case of 42-year-old Indian male with uncorrected tetralogy of Fallot. Possible reasons for the longevity in this patient are left ventricular hypertrophy and systemic to pulmonary shunting through mediastinal collaterals.
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未经手术的法洛四联症:一位42岁时拒绝手术的自然幸存者——手术是否为时已晚?
法洛四联症是最常见的发绀型先天性心脏病。12岁以后未进行矫正手术的存活率很低。我们报告一例42岁的印度男性未经矫正的法洛四联症。这名患者长寿的可能原因是左心室肥大和通过纵隔络脉的系统性肺分流。
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