title: [A 63-year-old man with uncorrected tetralogy of Fallot].
abstract: An exceptional case of tetralogy of Fallot is reported; the patient survived without severe symptoms or surgical treatment. The diagnosis was made by echocardiography at the age of 61 years when the patient experienced hypertensive retinopathy. Death occurred at 63 from myocardial infarction. It is thought that longstanding hypertension had contributed to a diminished right-to-left shunting, thus reducing cyanosis and hypoxic damage to the myocardium, which enabled prolonged survival.
authors.affiliation: Abteilung Kardiologie, Universitäts-Kinderklinik, Basel, Schweiz.
authors.forename: A
authors.initials: A
authors.lastname: Hoffmann
authors.forename: J
authors.initials: J
authors.lastname: Günthardt
authors.forename: H
authors.initials: H
authors.lastname: Gätzi
authors.forename: M
authors.initials: M
authors.lastname: Haller
mesh_terms: D003331:Coronary Vessels / Q000473:pathology; D004452:Echocardiography; D018618:Echocardiography, Doppler, Color; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging* / Q000473:pathology
vernacular_title: Ein 63jähriger Mann mit unkorrigierter Fallot-Tetralogie.