Follow-Up After Pulmonary Valve Replacement in Adults With Tetralogy of Fallot

Scherptong, Roderick W.C.; Hazekamp, Mark G.; Mulder, Barbara J.M.; Wijers, Olivier; Swenne, Cees A.; Wall, Ernst E. van der; Schalij, Martin J.; Vliegen, Hubert W.

doi:10.1016/j.jacc.2010.04.058

Cited by 72 publications

(45 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…36 Mean QRS duration did not shorten significantly 3 years after PVR in our study. Late cardiac death was arrhythmic in 3 cases despite successful PVR (all 3 patients from the earlier era).…”

Section: Discussioncontrasting

confidence: 39%

“…Three of 8 late deaths were arrhythmic (witnessed out-of-hospital cardiac arrests). QRS duration from the Additional surgical procedures, n (%)* 76 (36) Branch pulmonary artery augmentation, n (%) 26 (12) Pulmonary artery patch, n (%) 61 (29) Right ventricular outflow tract patch, n (%) 84 (40) Right ventricular outflow tract muscle resection, n (%) 24 (11) Right ventricular outflow tract plication, n (%) 40 (19) Residual ventricular septal defect closure, n (%) 18 ( …”

Section: Mortalitymentioning

confidence: 99%

See 1 more Smart Citation

Clinical Outcomes of Surgical Pulmonary Valve Replacement After Repair of Tetralogy of Fallot and Potential Prognostic Value of Preoperative Cardiopulmonary Exercise Testing

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 39%

Section: Mortalitymentioning

confidence: 99%

Clinical Outcomes of Surgical Pulmonary Valve Replacement After Repair of Tetralogy of Fallot and Potential Prognostic Value of Preoperative Cardiopulmonary Exercise Testing

et al. 2014

View full text Add to dashboard Cite

show abstract

“…1,2 Similarly, right bundle branch block (RBBB) is common, and prolonged QRS duration conveys risk for adverse outcome. 3 Although electromechanical abnormalities are recognized in this population, 2,[4][5][6] specific patterns of regional mechanical abnormalities induced by abnormal electric activation associated with RBBB have not been studied. In left bundle branch block (LBBB), abnormal electric activation leads to a typical mechanical dyssynchrony pattern characterized by early septal activation, observed echocardiographically as a septal flash, with concomitant lateral wall prestretch and late contraction of the early-stretched lateral wall.…”

mentioning

confidence: 99%

Mechanisms of Right Ventricular Electromechanical Dyssynchrony and Mechanical Inefficiency in Children After Repair of Tetralogy of Fallot

Wang

Slorach

Dragulescu

et al. 2014

Circ: Cardiovascular Imaging

View full text Add to dashboard Cite

Background-Right bundle branch block and right ventricular (RV) dysfunction are common after tetralogy of Fallot repair (rTOF). We hypothesized that right bundle branch block is associated with specific RV mechanical dyssynchrony and inefficient contraction. Methods and Results-We studied rTOF children and age-matched controls. QRS duration and morphology were assessed. RV mechanical dyssynchrony, indicated by early septal activation (right-sided septal flash), RV lateral wall prestretch/late contraction, postsystolic shortening, and intraventricular delay were analyzed using 2-dimensional strain echocardiography. Peak oxygen consumption reflected exercise capacity. Pulmonary regurgitation and RV volumes were assessed by MRI. Forty-six rTOF patients and 46 controls were studied. Ninety-three percent of rTOF patients demonstrated a right-sided septal flash with simultaneous RV basal lateral wall prestretch/late activation. The RV basal segment was the most delayed in onset (115 [0-194]

show abstract

“…Ezek kö-zött is kiemelt fontosságúak a jobbkamra-kifolyási pálya rekonstrukciós műtéteredményei. Napjainkban nagy számban jelennek meg a különböző vizsgálatok, után-követések e témakörből, de ezek csak a rövid távú (6-18 hónapos) utánkövetés adatait tartalmazzák [5,6,7,8,9].…”

Section: áBraunclassified

Right ventricular outflow tract reconstruction in adolescents and adults after previous repair of congenital heart defects

et al. 2012

View full text Add to dashboard Cite

A sikeres csecsemő-, gyermekkori beavatkozások eredményeként folyamatosan növekszik azoknak a betegeknek a száma, akik megélik a serdülő-, illetve felnőttkort. Cél: A szerzők a rekonstrukciót követő jobbkamra-kifolyási pálya reoperációinak korai és középtávú eredményeit vizsgálták fi atal-és felnőttkorban. Módszer: 2001 és 2012 között 48, csecsemő-és gyermekkorban rekonstrukciós műtéten átesett (30 Fallot-IV, 11 pulmonalis atresia+kamrai septumdefektus; hat nagyér-transpositio+kamrai septumdefektus+balkamra-kiáramlási szűkület; egy truncus arteriosus) fi atal-és felnőttkori beteg (15-39 év, átlag 21 év) reoperálása történt jobbkamra-diszfunkció, illetve -elégtelenség miatt. Eredmények: Harmincegy betegben a kinőtt homograft, kilenc betegben a transanularis folt helyére homograft, hat betegben a transanularis folttal kialakított anulusba, két betegnél a homograftanulusba biológiai műbillentyű-beül-tetés történt. Tizennégy esetben a műtétet kiterjesztették a jobbkamra-kifolyási pálya aneurysma reszekciójával. Műtét során és a 10 éves utánkövetési periódusban beteget nem vesztettek el. Homograftcserét követően a betegek 95,5%-ában értek el ötéves műtéti beavatkozásmentességet. Következtetések: A jobbkamra-kifolyási pálya rekonstrukciója jó eredménnyel végezhető fi atal-és felnőttkorban. A jobbkamra-elégtelenség megelőzésére javasolt a mű-tét elvégzése már fi atal felnőttkorban, megfelelő szájadék esetén a biológiai műbillentyű beültetése a választandó megoldás. Orv. Hetil., 2012, 153, 1219-1224. Kulcsszavak: jobbkamra-kifolyási pálya rekonstrukciója Right ventricular outfl ow tract reconstruction in adolescents and adults after previous repair of congenital heart defectsDue to successful surgical treatment of congenital heart defects in infants and children, the number of patients who reach the adolescent/adult age is continuously increasing. Aims: The authors sought to identify the short-and medium-term outcomes of reconstruction of right ventricular outfl ow tract in adolescents and adults who underwent surgical intervention for congenital heart defect in infancy or early childhood. Methods: Between 2001 and 2012, 48 patients (age: 15-39, mean 21 years) (30 tetralogy of Fallot, 11 pulmonary atresia + ventricular septal defect, 6 transposition of great arteries + ventricular septal defect + left ventricular outfl ow tract obstruction, and 1 truncus arteriosus) had repeat operation because of right ventricular dysfunction. All patients previously underwent right ventricular outfl ow tract procedures in early childhood. Results: In 31 patients, the small homograft, and in 9 patients the transannular-paths were replaced for "adult-size" homograft. Bioprosthetic pulmonary valve replacement was performed in pulmonary (6 patients) and homograft annuli (2 patients). In 14 patients, resection of the right ventricular outfl ow tract aneurism was also necessary to be performed. There was no early and mid-time (10 years) mortality. In 97.5% of patients with homograft-re-implantation, there was no need for repeat intervention...

show abstract

Follow-Up After Pulmonary Valve Replacement in Adults With Tetralogy of Fallot

Abstract: Severe QRS prolongation, before or after PVR, and the absence of a reduction in QRS duration after PVR, are major determinants of adverse outcome during long-term follow-up of patients with TOF.

Cited by 72 publications

References 25 publications

Clinical Outcomes of Surgical Pulmonary Valve Replacement After Repair of Tetralogy of Fallot and Potential Prognostic Value of Preoperative Cardiopulmonary Exercise Testing

Clinical Outcomes of Surgical Pulmonary Valve Replacement After Repair of Tetralogy of Fallot and Potential Prognostic Value of Preoperative Cardiopulmonary Exercise Testing

Mechanisms of Right Ventricular Electromechanical Dyssynchrony and Mechanical Inefficiency in Children After Repair of Tetralogy of Fallot

Right ventricular outflow tract reconstruction in adolescents and adults after previous repair of congenital heart defects

Contact Info

Product

Resources

About