Incidental Diagnosis After a Car Accident

Monica Verdoia, MD, PhD; Rocco Gioscia, MD; Pier Luigi Soldà, MD; Federica Marrara, MD; Borejda Xhyheri, MD; Stefano Leuzzi, MD; Giuseppe De Luca, MD, PhD; Caterina Masia; Ermanno Spagarino; Mimii Emanoela Pascu; Umberto Colageo, MD; Marco Marcolongo, MD

JACC: Case Reports (Dec 2020)

Incidental Diagnosis After a Car Accident

Monica Verdoia, MD, PhD,
Rocco Gioscia, MD,
Pier Luigi Soldà, MD,
Federica Marrara, MD,
Borejda Xhyheri, MD,
Stefano Leuzzi, MD,
Giuseppe De Luca, MD, PhD,
Caterina Masia,
Ermanno Spagarino,
Mimii Emanoela Pascu,
Umberto Colageo, MD,
Marco Marcolongo, MD

Affiliations

Monica Verdoia, MD, PhD: Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy; Division of Cardiology, Ospedale Maggiore della Carità, Università del Piemonte Orientale, Novara, Italy; Address for correspondence: Dr. Monica Verdoia, Ospedale degli Infermi, ASL Biella, Eastern Piedmont University, Via dei Ponderanesi, 13900 Biella, Italy.
Rocco Gioscia, MD: Division of Cardiology, Ospedale Maggiore della Carità, Università del Piemonte Orientale, Novara, Italy
Pier Luigi Soldà, MD: Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy
Federica Marrara, MD: Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy
Borejda Xhyheri, MD: Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy
Stefano Leuzzi, MD: Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy
Giuseppe De Luca, MD, PhD: Division of Cardiology, Ospedale Maggiore della Carità, Università del Piemonte Orientale, Novara, Italy
Caterina Masia: Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy
Ermanno Spagarino: Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy
Mimii Emanoela Pascu: Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy
Umberto Colageo, MD: Intensive Care Unit, Ospedale degli Infermi, ASL Biella, Italy
Marco Marcolongo, MD: Division of Cardiology, Ospedale degli Infermi, ASL Biella, Italy

Journal volume & issue: Vol. 2, no. 15
pp. 2289 – 2294

Abstract

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Tetralogy of Fallot (TOF) is a heterogeneous congenital heart disease that is occasionally diagnosed during adulthood. However, although they are often asymptomatic, adult patients with uncorrected TOF often have a poor prognosis. Poor outcomes indicate the importance of the identification and management of these patients, especially in the context of intercurrent disease or noncardiac surgery. We describe a case of clinically silent TOF in a 51-year-old woman. TOF was unmasked during a major noncardiac surgery for a polytrauma and successfully treated with the cooperation of a multidisciplinary team. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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