Pulmonary valve replacement long after repair of tetralogy of Fallot.

General Thoracic and Cardiovascular Surgery
Yuichi ShiokawaRyuji Tominaga

Abstract

Pulmonary valve replacement long after repair of tetralogy of Fallot can improve cardiac function, functional status, and arrhythmia propensity. This has not been reported in Japan. We aim to evaluate the effects of pulmonary valve replacement in repaired tetralogy of Fallot. Nineteen patients underwent pulmonary valve replacement after repair of tetralogy of Fallot, excluding Rastelli type operation, between August 1981 and August 2011. The results of the pulmonary valve replacement were assessed by analyzing preoperative and postoperative cardiothoracic ratio, cardiac function, functional status, QRS duration and durability of the prosthetic valves. There were neither operative nor late deaths. The Cardiothoracic ratio significantly improved from 61.0 ± 5.2 % preoperatively to 56.2 ± 4.8 % postoperatively (P < 0.001). The New York Heart association functional class significantly improved from 2.4 ± 0.8 preoperatively to 1.2 ± 0.4 postoperatively as well. Left ventricular ejection fraction showed significant improvement. QRS duration showed significant reduction. The freedom redo pulmonary valve replacement at 20 years was 100 %. Pulmonary valve replacement long after repair of previous tetralogy of Fallot had clinical benefit...Continue Reading

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Citations

Jan 25, 2013·General Thoracic and Cardiovascular Surgery·Takahiro Nishida, Ryuji Tominaga
Apr 30, 2014·Current Treatment Options in Cardiovascular Medicine·Emily Ruckdeschel, Joseph D Kay
Aug 10, 2013·Interactive Cardiovascular and Thoracic Surgery·Jonathan Raihan Abbas, J Andreas Hoschtitzky
Oct 2, 2013·Journal of the American College of Cardiology·Paulo Ernando Ferraz CavalcantiRicardo de Carvalho Lima
Apr 27, 2016·General Thoracic and Cardiovascular Surgery·Munetaka Masuda
Oct 18, 2014·World Journal for Pediatric & Congenital Heart Surgery·Christian NeukammGunnar Norgård
Mar 20, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jamie L R RomeoM Mostafa Mokhles
May 21, 2018·General Thoracic and Cardiovascular Surgery·Hideki Tatewaki, Akira Shiose

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