{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T23:22:07Z","timestamp":1772234527878,"version":"3.50.1"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"739","license":[{"start":{"date-parts":[[1987,5,1]],"date-time":"1987-05-01T00:00:00Z","timestamp":546825600000},"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":[[1987,5,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We report the clinical details of a 77 year old man with classical tetralogy of Fallot. The patient had clubbing and cyanosis at birth, and exertional squatting in childhood. He was asymptomatic as an adult until the seventh decade, when he developed biventricular failure and had an episode of bacterial endocarditis. He finally died of cerebral infarction and bronchopneumonia following abdominal surgery.<\/jats:p>\n               <jats:p>In spite of investigations, the diagnosis was not made in life, but only discovered at post-mortem. A persistent ductus arteriosus was also found. Increased pulmonary blood flow via the ductus is believed to have facilitated this patient\u2019s unusual longevity.<\/jats:p>","DOI":"10.1136\/pgmj.63.739.361","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"361-362","source":"Crossref","is-referenced-by-count":17,"title":["Cyanotic tetralogy of Fallot in a 77 year old man"],"prefix":"10.1093","volume":"63","author":[{"given":"S H L","family":"Thomas","sequence":"first","affiliation":[{"name":"Departments of Medicinefor the Elderly, Histopathology, St Thomas\u2019 Hospital , Lambeth Palace Road, London, SE1 7EH , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Bass","sequence":"additional","affiliation":[{"name":"Histopathology, St Thomas\u2019 Hospital , Lambeth Palace Road, London, SE1 7EH , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Pambakian","sequence":"additional","affiliation":[{"name":"Histopathology, St Thomas\u2019 Hospital , Lambeth Palace Road, London, SE1 7EH , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J H","family":"Marigold","sequence":"additional","affiliation":[{"name":"Departments of Medicinefor the Elderly, Histopathology, St Thomas\u2019 Hospital , Lambeth Palace Road, London, SE1 7EH , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,5,1]]},"reference":[{"key":"ref_1","article-title":"Congenital heart disease. In Disease of the Heart and Circulation, third edition, chapter VIII. Eyre and Spottiswoode","author":"Wood, P.","year":"1968","unstructured":"Wood, P. Congenital heart disease. In Disease of the Heart and Circulation, third edition, chapter VIII. Eyre and Spottiswoode, London, 1968."},{"issue":"36","key":"ref_2","first-page":"54","article-title":"Tetralogy of Fallot associated with well-developed left ventricular muscle mass and increased life span","volume":"1964","author":"Burch, G.E.; DePasquale, N.P.; Phillips, J.H.","unstructured":"Burch, G.E., DePasquale, N.P. & Phillips, J.H. Tetralogy of Fallot associated with well-developed left ventricular muscle mass and increased life span. Am J Med 1964, 36: 54-61.","journal-title":"Am J Med"},{"issue":"19","key":"ref_3","first-page":"12","article-title":"Longevity in tetralogy of Fallot","volume":"1964","author":"Meindok, H.","unstructured":"Meindok, H. Longevity in tetralogy of Fallot. Thorax 1964, 19:12.","journal-title":"Thorax"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1016\/0002-9343(79)91121-5","article-title":"Tetralogy of Fallot in adults. A report on 147 patients","volume":"66","author":"Abraham, K.A.; Cherian, G.; Dayasagar Rao, V.; Sukumar, I.P.; Krishnaswami, S.; John, S.","year":"1979","unstructured":"Abraham, K.A., Cherian, G., Dayasagar Rao, V., Sukumar, I.P., Krishnaswami, S. & John, S. Tetralogy of Fallot in adults. A report on 147 patients. Am J Med 1979, 66: 811-816.","journal-title":"Am J Med"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/739\/361\/50080349\/postgradmedj-63-361.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/739\/361\/50080349\/postgradmedj-63-361.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T05:38:20Z","timestamp":1683265100000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/63\/739\/361\/7047385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,5,1]]},"references-count":4,"journal-issue":{"issue":"739","published-online":{"date-parts":[[1987,5,1]]},"published-print":{"date-parts":[[1987,5,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.63.739.361","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1987,5]]},"published":{"date-parts":[[1987,5,1]]}}}