ABSTRACT
Tetralogy of Fallot is the most frequent cyanotic congenital heart disease. Usually, the condition is diagnosed and treated during the first year of life. Few reports of uncorrected tetralogy of Fallot reaching adulthood are found in the literature. Occasionally the pulmonary obstruction is relatively mild and the presentation is with minimal cyanosis. This particular situation is called "pink tetralogy" or "acyanotic tetralogy". For these adults surgical repair is still recommended, since the results of surgery are good and the operative risk is low. We report the case of a 55-year-old man with an uncorrected acyanotic tetralogy of Fallot diagnosed after right cardiac failure triggered by an acute onset of malaria.
Subject(s)
Heart Failure/diagnosis , Heart Failure/etiology , Heart Failure/surgery , Malaria, Falciparum/complications , Tetralogy of Fallot/diagnosis , Tetralogy of Fallot/surgery , Diagnosis, Differential , Echocardiography , Electrocardiography, Ambulatory , Exercise Test , Humans , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
In this report, we describe a continuous murmur heard in a young woman at the beginning of her lactation period, which illustrates a typical example of 'Mammary Souffle', described one century ago. Colour Doppler and pulsed-wave mode echocardiogram allowed to precise, for the first time, the arterial nature of increased systolic and diastolic blood flow in tortuous branches of internal mammary artery, most probably responsible of the murmur, after ruling out any other origin of continuous murmur.
