PMID: 8582389Sep 1, 1995Paper

Echocardiographic findings in 83 patients 13-26 years after intracardiac repair of tetralogy of Fallot

European Heart Journal
H JonssonL A Brodin

Abstract

Doppler echocardiography was performed in 83 patients, 13-26 (median 19) years after repair of tetralogy of Fallot. Median age at repair was 7 years (range 9 months-42 years). An outflow patch restricted to the right ventricle was used in 29%, a transannular patch in 27% and the right ventricle was closed without a patch in 44%. Ninety-six percent of the patients were asymptomatic at follow-up. Patients with a transannular patch were younger, had a larger right ventricle and a higher right ventricle to pulmonary artery pressure difference than those without a patch. The average end-diastolic diameter of the right ventricle was larger than normal regardless of type of repair. The thickness of the right ventricular wall was increased in 50%. In 43% of the patients there was persistent hypertrophy of the right ventricular wall despite normalized systolic pressure. The average size and function of the left ventricle were normal although fractional shortening was reduced in 30% of the patients. The aortic root was abnormally large in 48%. Thirty-four percent had moderate or severe pulmonary valve regurgitation. Symptom-limited work capacity was 87% of predicted and was inversely related to age, systolic pressure in the right ventric...Continue Reading

Citations

Oct 20, 2012·Pediatric Cardiology·Christian D NagyKathryn W Holmes
Jan 14, 2017·Cardiology in the Young·John Papagiannis
Sep 13, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·M MasudaH Yasui
Feb 24, 2005·European Radiology·Alexander van StratenAlbert de Roos
Feb 15, 2013·Expert Review of Cardiovascular Therapy·Laurianne Le GloanPaul Khairy
Jan 27, 2016·Pediatrics International : Official Journal of the Japan Pediatric Society·Mitsuru SekiHideaki Senzaki
Jul 12, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Sameer AhmedStefan Loy Zimmerman
Feb 7, 2009·Journal of the American College of Cardiology·Anji T Yetman, Thomas Graham

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