{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T23:28:17Z","timestamp":1769815697916,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"952","license":[{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The case history is described of a man in his 73rd year who was one of the oldest surviving patients with uncorrected tetralogy of Fallot (ToF) before succumbing with renal failure. Factors contributing to his longevity included small pulmonary arteries and presumed slow development of subpulmonary obstruction together with moderate concentric left ventricular hypertrophy\u2014features previously seen in long term survivors. Less than 3% of all patients with uncorrected ToF survive beyond their 40s but late operative repair is still a valuable option. Practicalities of renal dialysis in the presence of an intracardiac shunt are considered.<\/jats:p>","DOI":"10.1136\/pgmj.2004.020172","type":"journal-article","created":{"date-parts":[[2005,2,8]],"date-time":"2005-02-08T19:03:54Z","timestamp":1107889434000},"page":"133-134","source":"Crossref","is-referenced-by-count":27,"title":["Unoperated tetralogy of Fallot: case report of a natural survivor who died in his 73rd year; is it ever too late to operate?"],"prefix":"10.1093","volume":"81","author":[{"given":"X","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Duke University Medical Centre , Durham, North Carolina , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L J","family":"Freeman","sequence":"additional","affiliation":[{"name":"GUCH Unit, Department of Cardiology, Norfolk and Norwich University NHS Hospital , Norwich , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Norfolk and Norwich University NHS Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2005,2,8]]},"reference":[{"key":"2023042408154625000_R1","first-page":"77","article-title":"Contribution \u00e0 l\u2019anatomie pathologique de la maladie bleue (cyanose cardiaque)","volume":"25","author":"Fallot","year":"1888","journal-title":"Marseille M\u00e9dical"},{"key":"2023042408154625000_R2","first-page":"92","article-title":"Adult congenital heart disease (or GUCH) clinic in a district general hospital: the Norfolk and Norwich experience","volume":"9","author":"Freeman","year":"2002","journal-title":"Br J Cardiol"},{"key":"2023042408154625000_R3","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/0002-9149(78)90941-4","article-title":"Life expectancy without surgery in tetralogy of Fallot","volume":"42","author":"Bertranou","year":"1978","journal-title":"Am J Cardiol"},{"key":"2023042408154625000_R4","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1136\/thx.19.1.12","article-title":"Longevity in the tetralogy of Fallot","volume":"19","author":"Meindok","year":"1964","journal-title":"Thorax"},{"key":"2023042408154625000_R5","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1136\/pgmj.63.739.361","article-title":"Cyanotic tetralogy of Fallot in a 77 years old man","volume":"63","author":"Thomas","year":"1987","journal-title":"Postgrad Med J"},{"key":"2023042408154625000_R6","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/0002-8703(61)90491-4","article-title":"Longevity in tetralogy and triology of Fallot. Discussion of cases in patients surviving 40 years and presentation of two further cases","volume":"62","author":"Bowie","year":"1961","journal-title":"Am Heart J"},{"key":"2023042408154625000_R7","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1002\/clc.4960070807","article-title":"Tetralogy of Fallot in the elderly","volume":"7","author":"Chin","year":"1984","journal-title":"Clin Cardiol"},{"key":"2023042408154625000_R8","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1002\/ccd.1810280413","article-title":"Tetralogy of Fallot in a 71 year old patient with new onset hypoxemia","volume":"28","author":"Nottestad","year":"1993","journal-title":"Cathet Cardiovasc Diagn"},{"key":"2023042408154625000_R9","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/BF02552393","article-title":"Congenital extracardiac shunts with tetralogy of Fallot","volume":"4","author":"Liberthson","year":"1981","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2023042408154625000_R10","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/S0735-1097(85)80083-8","article-title":"Total correction of tetralogy of Fallot at age 40 years and older: long-term follow-up","volume":"5","author":"Hu","year":"1985","journal-title":"J Am Coll Cardiol"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/81\/952\/133\/50025390\/postgradmedj-81-133.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/81\/952\/133\/50025390\/postgradmedj-81-133.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T08:19:46Z","timestamp":1682324386000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/81\/952\/133\/7031882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,2,1]]},"references-count":10,"journal-issue":{"issue":"952","published-online":{"date-parts":[[2005,2,8]]},"published-print":{"date-parts":[[2005,2,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.2004.020172","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2005,2]]},"published":{"date-parts":[[2005,2,1]]}}}