Pulmonary valve replacement in adults with repaired tetralogy of Fallot.
Pulmonary valve replacement in adults with repaired tetralogy of Fallot.
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DOI：
10.1053/j.pcsu.2011.01.016
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发表时间：
2011-01-01
期刊：
影响因子：
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通讯作者：
Silversides, Candice K
中科院分区：
文献类型：
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作者：
Burchill, Luke J;Wald, Rachel M;Silversides, Candice K
有一个不断增长的人口与法洛四联症的年轻成年人。虽然手术方法已经发展，许多成人法洛四联症修复已留下残余肺动脉返流。肺动脉返流是许多晚期并发症的重要原因，包括运动受限、右心衰竭、心律失常和猝死。由于生物瓣膜用于该人群，临床医生必须权衡肺动脉瓣置换术的有益效果与相关风险，包括随后的再次手术。本文就成人法洛四联症修复后行肺动脉瓣置换术的证据、最佳介入时机和方式进行综述。
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.