With the increasing number of late survivors of surgeries for repair of ToF, the surgical management of the possible surgical sequelae, such as chronic pulmonary-valve insufficiency (PVI) and right ventricular (RV) dysfunction, has become a frequent problem. This is a timely topic of increasing clinical interest, as shown by the fact that pulmonary-valve replacement (PVR) for PVI is the reoperation most frequently performed today in adults with congenital heart disease (ACHD) [1, 2]. Long-standing chronic PVI, in these patients, can result in RV dilatation and failure, increasing tricuspid regurgitation, impaired exercise performance, and supraventricular or ventricular arrhythmias.
|Title of host publication||The Right Ventricle in Adults with Tetralogy of Fallot|
|Publisher||Springer-Verlag Italia s.r.l.|
|Number of pages||9|
|ISBN (Print)||9788847023581, 8847023572, 9788847023574|
|Publication status||Published - Aug 1 2012|
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