Case Report: Unrepaired Tetralogy of Fallot in a 50-year-Old woman with 13 pregnancies: multimodal cardiovascular imaging, surgical repair, and longitudinal remodeling - Takeaways - MDSpire

Case Report: Unrepaired Tetralogy of Fallot in a 50-year-Old woman with 13 pregnancies: multimodal cardiovascular imaging, surgical repair, and longitudinal remodeling

  • By

  • Moath Hattab

  • Yahya Ismail

  • Ahmed Darsalim

  • Nour Deek

  • Mohammad Abed

  • Adham Abderrazeq

  • Abelhalim Abuhaltam

  • Mohammed SalahAldin

  • Mohammed Abutaqa

  • Nizar Hijjeh

  • July 7, 2026

  • 0 min

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  • 1

    Survival without repair of Tetralogy of Fallot (TOF) is rare, with only 3%-5% of patients reaching 40 years without intervention.

  • 2

    A 50-year-old woman with unrecognized TOF presented with dyspnea and cyanosis after 13 pregnancies and 11 deliveries.

  • 3

    Multimodal cardiovascular imaging confirmed classic TOF anatomy, including a large sub-aortic VSD and severe RVOT obstruction.

  • 4

    The patient underwent successful corrective surgery, resulting in normalized oxygen saturation and improved echocardiographic findings.

  • 5

    This case emphasizes the importance of cardiovascular imaging in diagnosing unrecognized congenital heart disease in adults.

Original Source(s)

Case Report: Unrepaired Tetralogy of Fallot in a 50-year-Old woman with 13 pregnancies: multimodal cardiovascular imaging, surgical repair, and longitudinal remodeling

  • by Moath Hattab, Yahya Ismail, Ahmed Darsalim, Nour Deek, Mohammad Abed, Adham Abderrazeq, Abelhalim Abuhaltam, Mohammed SalahAldin, Mohammed Abutaqa, Nizar Hijjeh

  • July 7, 2026

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