Tetralogy of Fallot in an Adult                   Orient Journal of Medicine               Vol 29 [3-4] July-Dec, 2017
CASE REPORT

Uncorrected Tetralogy of Fallot in a 47 Year Old Nigerian Man: A Case Report
Chibundo U NWANELI
Emmanuel I ONWUBUYA
Matthew E OBICHUKWU
Obinna L EZIKE
Paschal N ADUKA


Department of Internal Medicine
Nnamdi Azikiwe University Teaching Hospital
Nnewi, NIGERIA


Author for Correspondence
Dr CU NWANELI
Department Of Internal Medicine
Nnamdi Azikiwe University
Teaching Hospital Nnewi
Anambra State, NIGERIA


Phone: +234 803 776 4653
E mail: bundus_uche@yahoo.com
uchennanwaneli@gmail.com


Received: February 2nd, 2017
Accepted: May 31st, 2017


DISCLOSURE
There are no conflicts of interest to declare. No funding was received for this work.
Permission was obtained from the patient to report this case.
ABSTRACT

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease and is usually diagnosed in childhood. Uncorrected TOF has a bad prognosis with 95% mortality by the age of twenty. There are reports of patients with uncorrected TOF who survived into adulthood with minimal symptoms. This has been attributed to relatively small degrees of left ventricular outflow tract (LVOT) obstruction and/or presence of congenital aorto-pulmonary shunts. Very few cases of uncorrected TOF in adults have been reported in Africa. We report this case of uncorrected TOF in a 47 year old Nigerian man to highlight this rare presentation in adult life. He is the oldest case of TOF so far reported in Nigeria. He had hypertension with left ventricular hypertrophy which may have contributed to his longevity.














Key words: Congenital heart disease, Ventricular septal defect, Pulmonary stenosis, Adulthood