Pulmonary embolism in a patient of tetralogy of Fallot: a diagnostic challenge

Wu, I‐Lin; Tseng, Jo-Chi

doi:10.1016/j.ajem.2014.12.061

Cited by 4 publications

(4 citation statements)

References 7 publications

(4 reference statements)

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“…Um relato de caso sobre embolia pulmonar em um paciente com Tetralogia de Fallot destaca um desafio diagnóstico comum nessa população. A história clínica e os sintomas semelhantes às crises de Tetralogia de Fallot podem complicar o diagnóstico e o tratamento adequados da embolia pulmonar, enfatizando a importância da vigilância clínica cuidadosa (WU & Tseng, 2015).…”

Section: Resultsunclassified

Avanços no tratamento e manejo da tetralogia de Fallot: Perspectivas atuais e futuras

Tenorio,

Barros,

Sampaio

et al. 2024

RSD

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Os avanços no tratamento e manejo da Tetralogia de Fallot (TF) representam uma área de significativa importância na medicina pediátrica, demandando uma compreensão abrangente e atualizada para garantir a melhoria dos desfechos clínicos e a qualidade de vida dos pacientes afetados. A TF é uma condição cardíaca congênita complexa, caracterizada por quatro anormalidades específicas que comprometem o fluxo sanguíneo para os pulmões, resultando em hipoxemia crônica e outras complicações cardiovasculares. Este trabalho tem como objetivo analisar os avanços recentes e as perspectivas futuras no tratamento e manejo da TF, uma das cardiopatias congênitas mais prevalentes na infância. Para isso, serão revisados os principais métodos diagnósticos, as estratégias terapêuticas atuais e as abordagens emergentes na gestão dessa condição complexa. Para conduzir a revisão integrativa, foi realizada uma busca na base de dados eletrônicas, PubMed, com o objetivo de identificar estudos relevantes publicados nos últimos 10 anos (2015 a 2024). Os descritores MESH específicos utilizados foram “Tetralogy of Fallot”, “Diagnostic”, “Therapeutics”, “Drug therapy”. Esses termos foram selecionados para garantir a inclusão de estudos que abordassem diferentes aspectos relacionados à TF, desde novas terapias até diretrizes de manejo e previsões para o futuro.

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Section: Resultsunclassified

Avanços no tratamento e manejo da tetralogia de Fallot: Perspectivas atuais e futuras

Tenorio,

Barros,

Sampaio

et al. 2024

RSD

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“…Indeed, these devices may predispose patients with TOF to the detrimental pathologies such as pulmonary embolism, septicemia, infectious endocarditis, and paradoxical embolism, [21][22][23][24][25][26][27] although the available literature has seldom discussed pulmonary embolism in patients with TOF. 28 We must also recognize that in patients with an intrinsic cardiac anomaly, the creation of peripheral vascular access may result in severe cardiac failure. 29 Otherwise, it should be noted that bacteremia is less frequent in PD patients than in chronic HD patients with endovascular catheter, and no reports on infectious endocarditis in PD patients were available, despite the fact that septicemia is not exceptional in PD subjects 30,31 ; therefore, PD does not appear to be an additional risk of infectious endocarditis among patients with end-stage kidney disease.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Challenges to End-Stage Kidney Disease in a Patient with Tetralogy of Fallot

Ohara

Akimoto

Miki

et al. 2015

Clin Med Insights Case Rep

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In this report, we describe the case of an end-stage kidney disease patient with tetralogy of Fallot (TOF). A 33-year-old female with TOF was admitted to our hospital with complaints of general fatigue and appetite loss probably due to uremic milieu. She was ultimately treated with peritoneal dialysis (PD) with a favorable clinical course. TOF patients with chronic kidney disease are not exceptional, although the currently available information regarding the association between TOF and renal failure severe enough to require dialysis treatment is limited. We also discuss the complex processes of how and why PD was selected as a mode of chronic renal replacement therapy in this case.

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“…Although studies are limited examining PE rates, adult CHD patients may exist in a pro-thrombotic state due to chronic hypoxia and resultant polycythemia [39]. Patients also undergo operations which put them at risk of developing PE in the post-surgical period.…”

Section: Pulmonary Embolism (Pe)mentioning

confidence: 99%

Adult Congenital Heart Disease in the Emergency Department

Lindor,

Heller,

Hodgson

et al. 2024

JPM

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While congenital heart disease historically was a pathology primarily restricted to specialized pediatric centers, advances in technology have dramatically increased the number of people living into adulthood, the number of complications faced by these patients, and the number of patients visiting non-specialized emergency departments for these concerns. Clinicians need to be aware of the issues specific to patients’ individual congenital defects but also have an understanding of how typical cardiac pathology may manifest in this special group of patients. This manuscript attempts to provide an overview of this diverse but increasingly common group of adult patients with congenital heart diseases, including a review of their anatomical variants, the complications they face at the highest rates, and ways that emergency physicians may need to manage these patients differently to avoid causing harm.

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Pulmonary embolism in a patient of tetralogy of Fallot: a diagnostic challenge

Cited by 4 publications

References 7 publications

Avanços no tratamento e manejo da tetralogia de Fallot: Perspectivas atuais e futuras

Avanços no tratamento e manejo da tetralogia de Fallot: Perspectivas atuais e futuras

Therapeutic Challenges to End-Stage Kidney Disease in a Patient with Tetralogy of Fallot

Adult Congenital Heart Disease in the Emergency Department

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