Key result
A 39-year-old female with repaired Tetralogy of Fallot developed severe pulmonic valve insufficiency and right ventricular dysfunction after being lost to follow-up for over seven years.
Why the study?
Pulmonic valve insufficiency after repaired Tetralogy of Fallot leads to cardiac remodeling that can remain asymptomatic, highlighting the need for consistent adult congenital heart disease follow-up.
Case Report (n=1)
No
Highlights the importance of consistent follow-up in adult patients with repaired Tetralogy of Fallot to monitor for asymptomatic pulmonic valve insufficiency and cardiac remodeling.
Repair of Tetralogy of Fallot (TOF) has significantly improved long-term mortality. A consequence of repair is pulmonic valve insufficiency, leading to cardiac remodeling in adulthood, which can often remain asymptomatic for an extended period. This emphasizes the importance of consistent follow-up with an adult congenital heart disease physician to evaluate for these pathophysiologic consequences. We present a case of a young female patient with a history of TOF status post-repair who was lost to follow-up.
No takes yet. Share an insight, caveat, or question.
Cholagh et al. (2026) conducted a case report in Tetralogy of Fallot with pulmonic valve insufficiency (n=1). Antihypertensive management was evaluated. A 39-year-old female with repaired Tetralogy of Fallot developed severe pulmonic valve insufficiency and right ventricular dysfunction after being lost to follow-up for over seven years.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: