[Cerebral abscess disclosing tetralogy of Fallot with situs inversus in adulthood].
The authors report the case of tetralogy of Fallot (TOF) associated with situs inversus, the first description of this rare association in a previously asymptomatic adult. A 32 years old chauffeur was admitted to hospital with pyrexia and convulsions due to a left temporo-parietal cerebral abscess which had a favourable outcome. The chest X-ray and Doppler echocardiographic study showed a TOF with a high infundibular stenosis and dextrocardia. Abdominal ultrasonography confirmed a complete situs inversus. The good tolerance was attributed to the equilibrated character of the TOF. The orientation of the heart and the cono-truncal septation occur at different times during embryogenesis. However, there are genetic arguments in favour of the non-fortuitous nature of this association.
Service de cardiologie, hôpital Henri-Mondor, Créteil.
O
O
Piot
P
P
Guillo
F
F
Pouillart
O
O
Lucas
M C
MC
Beaucousin
A M
AM
Duval
S
S
Gaudeau
C
C
Brun-Buisson
J L
JL
Dubois-Randé
A
A
Castaigne
D000328:Adult; D001922:Brain Abscess / Q000209:etiology*; D006801:Humans; D008297:Male; D012857:Situs Inversus / Q000150:complications* / Q000196:embryology; D013771:Tetralogy of Fallot / Q000150:complications* / Q000196:embryology
Abcès cérébral révélant à l'âge adulte une tétralogie de Fallot sur situs inversus.