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著者: Luke J Burchill, Rachel M Wald, Louise Harris, Jack M Colman, Candice K Silversides
雑誌名: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):92-7. doi: 10.1053/j.pcsu.2011.01.016.
Abstract/Text
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.
Copyright © 2011 Elsevier Inc. All rights reserved.
PMID 21444054 Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):92-7. doi: 10.1053/j.pcsu.2011.01.016.
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