Tetralogy, 54 yr old male

Echo studies

Other imaging & studies

Patient Presentation

A 54 year old man born with tetralogy of Fallot, "blue" as an infant, was palliated with a left Blalock-Taussig as a child, and a Glenn at age 20. At age 34 he declined complete repair; he was fully functional with mild clubbing, an O2 saturation of 95%, but no Blalock-Taussig shunt murmur. He next saw a cardiologist at age 52 for chest pain. Five months ago he experienced progressive dyspnea on exertion and cyanosis. Orthopnea developed in the weeks preceding admission, with neck fullness and abdominal fullness occurring in the days prior to admission.

Clinical course...

Keys to clinical management...