ISSN 2756-3316
African Journal of Medical Case Reports Vol. 8 (7), pp. 001-003, July, 2020. © International Scholars Journals
Case Report
Adult Nigerian with untreated tetralogy of fallot: A case report
Uchenna D. I.*, Jesuorobo D. E. and Anyalaechi
Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Accepted 15 April, 2020
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.