Pulmonary Valve Replacement in Adults With Repaired Tetralogy of Fallot

Luke Burchill, Rachel M. Wald, Louise Harris, Jack M. Colman, Candice K. Silversides

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

There is a growing population of young adults with tetralogy of Fallot. Although surgical approaches have evolved, many adults with repaired tetralogy of Fallot have been left with residual pulmonary regurgitation. Pulmonary regurgitation is an important contributor to a number of late complications including exercise limitations, right heart failure, arrhythmia, and sudden death. Because bioprosthetic valves are used in this population, clinicians must weigh the beneficial effects of pulmonary valve replacement against the associated risks, including subsequent re-operation. In this review, we will appraise the evidence supporting pulmonary valve replacement in the adult with repaired tetralogy of Fallot, as well as the optimal timing and mode of intervention.

Original languageEnglish (US)
Pages (from-to)92-97
Number of pages6
JournalSeminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
Volume14
Issue number1
DOIs
StatePublished - 2011
Externally publishedYes

Fingerprint

Pulmonary Valve
Tetralogy of Fallot
Pulmonary Valve Insufficiency
Sudden Death
Population
Cardiac Arrhythmias
Young Adult
Heart Failure
Exercise

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Pulmonary Valve Replacement in Adults With Repaired Tetralogy of Fallot. / Burchill, Luke; Wald, Rachel M.; Harris, Louise; Colman, Jack M.; Silversides, Candice K.

In: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, Vol. 14, No. 1, 2011, p. 92-97.

Research output: Contribution to journalArticle

Burchill, Luke ; Wald, Rachel M. ; Harris, Louise ; Colman, Jack M. ; Silversides, Candice K. / Pulmonary Valve Replacement in Adults With Repaired Tetralogy of Fallot. In: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. 2011 ; Vol. 14, No. 1. pp. 92-97.
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