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 language | English (US) |
|---|---|
| Pages (from-to) | 92-97 |
| Number of pages | 6 |
| Journal | Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual |
| Volume | 14 |
| Issue number | 1 |
| DOIs | |
| State | Published - 2011 |
| Externally published | Yes |
Fingerprint
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 journal › Article
}
TY - JOUR
T1 - Pulmonary Valve Replacement in Adults With Repaired Tetralogy of Fallot
AU - Burchill, Luke
AU - Wald, Rachel M.
AU - Harris, Louise
AU - Colman, Jack M.
AU - Silversides, Candice K.
PY - 2011
Y1 - 2011
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=79953031057&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79953031057&partnerID=8YFLogxK
U2 - 10.1053/j.pcsu.2011.01.016
DO - 10.1053/j.pcsu.2011.01.016
M3 - Article
C2 - 21444054
AN - SCOPUS:79953031057
VL - 14
SP - 92
EP - 97
JO - Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
JF - Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
SN - 1092-9126
IS - 1
ER -