Pulmonary valve replacement after repaired Tetralogy of Fallot

Hideki Tatewaki, Akira Shiose

研究成果: Contribution to journalReview article査読

7 被引用数 (Scopus)

抄録

In this review article, we describe pulmonary valve replacement (PVR) late after repaired Tetralogy of Fallot (TOF). Since the introduction of surgical intervention for patients with TOF in 1945, surgical management of TOF has dramatically improved early survival with mortality rates, less than 2–3%. However, the majority of these patients continue to experience residual right ventricular outflow tract pathology, most commonly pulmonary valve regurgitation (PR). The patients are generally asymptomatic during childhood and adolescence and, however, are at risk for severe PR later which can result in exercise intolerance, heart failure, arrhythmias, and sudden death. While it has been shown that PVR improves symptoms and functional status in these patients, the optimal timing and indications for PVR after repaired TOF are still debated. This article reviews the current state of management for the patient with PR after repaired TOF.

本文言語英語
ページ(範囲)509-515
ページ数7
ジャーナルGeneral thoracic and cardiovascular surgery
66
9
DOI
出版ステータス出版済み - 9 1 2018

All Science Journal Classification (ASJC) codes

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学

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