ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
George A. Trusler
John G. Coles
Ivan M. Rebeyka
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Yemets, I. M.
Right arrow Articles by Freedom, R. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Yemets, I. M.
Right arrow Articles by Freedom, R. M.

Ann Thorac Surg 1997;64:526-530
© 1997 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Pulmonary Valve Replacement Late After Repair of Tetralogy of Fallot

Ilya M. Yemets, MD, William G. Williams, MD, Gary D. Webb, MD, David A. Harrison, MD, Peter R. McLaughlin, MD, George A. Trusler, MD, John G. Coles, MD, Ivan M. Rebeyka, MD, Robert M. Freedom, MD

The Hospital for Sick Children and the Toronto Congenital Cardiac Centre for Adults, Toronto, Ontario, Canada

Accepted for publication March 3, 1997.

Background. Pulmonary valve incompetence is usually well tolerated after tetralogy of Fallot repair but may result in late progressive right heart failure as manifested by increasing fatigue, dyspnea, and frequently arrhythmias.

Methods. All patients who underwent pulmonary valve replacement in our center late after repair of tetralogy of Fallot were reviewed.

Results. Eighty-five patients had elective pulmonary valve replacement late (median, 9.3 years) after repair. Operative risk was low (1.1%). Ninety percent of survivors are in New York Heart Association class I. Survival 10 years after pulmonary valve replacement is 95%, with 86% of the patients free of reoperation for valve failure.

Conclusions. Pulmonary valve replacement is infrequently required after repair of tetralogy of Fallot. Pulmonary valve replacement may be performed electively with little risk; it improves symptoms of right heart failure and provides satisfactory long-term survival with low risk of early valve failure. As the population of patients who have had repair of tetralogy of Fallot ages, pulmonary valve replacement will become a more frequent consideration.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
L. Boni, E. Garcia, L. Galletti, A. Perez, D. Herrera, V. Ramos, S. M. Marianeschi, and J. V. Comas
Current strategies in tetralogy of Fallot repair: pulmonary valve sparing and evolution of right ventricle/left ventricle pressures ratio
Eur. J. Cardiothorac. Surg., May 1, 2009; 35(5): 885 - 890.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
F. J. Meijboom, J. W. Roos-Hesselink, J. S. McGhie, S. E.C. Spitaels, R. T. van Domburg, L. M.W.J. Utens, M. L. Simoons, and A. J.J.C. Bogers
Consequences of a selective approach toward pulmonary valve replacement in adult patients with tetralogy of Fallot and pulmonary regurgitation
J. Thorac. Cardiovasc. Surg., January 1, 2008; 135(1): 50 - 55.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. R. Henkens, A. van Straten, M. J. Schalij, M. G. Hazekamp, A. de Roos, E. E. van der Wall, and H. W. Vliegen
Predicting Outcome of Pulmonary Valve Replacement in Adult Tetralogy of Fallot Patients
Ann. Thorac. Surg., March 1, 2007; 83(3): 907 - 911.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
S. Schievano, F. Migliavacca, L. Coats, S. Khambadkone, M. Carminati, N. Wilson, J. E. Deanfield, P. Bonhoeffer, and A. M. Taylor
Percutaneous Pulmonary Valve Implantation Based on Rapid Prototyping of Right Ventricular Outflow Tract and Pulmonary Trunk from MR Data
Radiology, February 1, 2007; 242(2): 490 - 497.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
T. W. Waterbolk, E. S. Hoendermis, I. J. den Hamer, and T. Ebels
Pulmonary valve replacement with a mechanical prosthesis. Promising results of 28 procedures in patients with congenital heart disease.
Eur. J. Cardiothorac. Surg., July 1, 2006; 30(1): 28 - 32.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
K. I. Norton, C. Tong, R. B. J. Glass, and J. C. Nielsen
Cardiac MR Imaging Assessment Following Tetralogy of Fallot Repair
RadioGraphics, January 1, 2006; 26(1): 197 - 211.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
A. van Straten, H. W. Vliegen, H. J. Lamb, S. D. Roes, E. E. van der Wall, M. G. Hazekamp, and A. de Roos
Time Course of Diastolic and Systolic Function Improvement After Pulmonary Valve Replacement in Adult Patients With Tetralogy of Fallot
J. Am. Coll. Cardiol., October 18, 2005; 46(8): 1559 - 1564.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
C. A. Warnes
The Adult With Congenital Heart Disease: Born To Be Bad?
J. Am. Coll. Cardiol., July 5, 2005; 46(1): 1 - 8.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
S. Yin, J. Salazar, L. Nolke, A. Azakie, and T. R Karl
Late Pulmonary Valve Implantation after Repair of Tetralogy of Fallot
Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 139 - 142.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. A. Quintessenza, J. P. Jacobs, V. O. Morell, J. M. Giroud, and R. J. Boucek
Initial Experience With a Bicuspid Polytetrafluoroethylene Pulmonary Valve in 41 Children and Adults: A New Option For Right Ventricular Outflow Tract Reconstruction
Ann. Thorac. Surg., March 1, 2005; 79(3): 924 - 931.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
B. Bouzas, P. J. Kilner, and M. A. Gatzoulis
Pulmonary regurgitation: not a benign lesion
Eur. Heart J., March 1, 2005; 26(5): 433 - 439.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Lim, J. Y. Lee, W.-H. Kim, S.-C. Kim, J.-Y. Song, S.-J. Kim, J.-H. Choh, and C. Whan Kim
Early replacement of pulmonary valve after repair of tetralogy: is it really beneficial?
Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 728 - 734.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
T. Geva, B. M. Sandweiss, K. Gauvreau, J. E. Lock, and A. J. Powell
Factors associated with impaired clinical status in long-term survivors of tetralogy of Fallot repair evaluated by magnetic resonance imaging
J. Am. Coll. Cardiol., March 17, 2004; 43(6): 1068 - 1074.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. A. Bermudez, J. A. Dearani, F. J. Puga, H. V. Schaff, C. A. Warnes, P. W. O'Leary, C. D. Schleck, and G. K. Danielson
Late results of the peel operation for replacement of failing extracardiac conduits
Ann. Thorac. Surg., March 1, 2004; 77(3): 881 - 888.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
F. A. Atik, E. Atik, C. R. da Cunha, L. F. Caneo, R. S. Assad, M. B. Jatene, A. Riso, and M. Barbero-Marcial
Long-term results of correction of tetralogy of Fallot in adulthood
Eur. J. Cardiothorac. Surg., February 1, 2004; 25(2): 250 - 255.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Q. Zhou, A. F. Corno, C. H. Huber, P. Tozzi, and L. K. von Segesser
Self-expandable valved stent of large size: off-bypass implantation in pulmonary position
Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 212 - 216.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
P. A. Davlouros, P. J. Kilner, T. S. Hornung, W. Li, J. M. Francis, J. C. C. Moon, G. C. Smith, T. Tat, D. J. Pennell, and M. A. Gatzoulis
Right ventricular function in adults with repaired tetralogy of Fallot assessed with cardiovascular magnetic resonance imaging: detrimental role of right ventricular outflow aneurysms or akinesia and adverse right-to-left ventricular interaction
J. Am. Coll. Cardiol., December 4, 2002; 40(11): 2044 - 2052.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
H. W. Vliegen, A. van Straten, A. de Roos, A. A.W. Roest, P. H. Schoof, A. H. Zwinderman, J. Ottenkamp, E. E. van der Wall, and M. G. Hazekamp
Magnetic Resonance Imaging to Assess the Hemodynamic Effects of Pulmonary Valve Replacement in Adults Late After Repair of Tetralogy of Fallot
Circulation, September 24, 2002; 106(13): 1703 - 1707.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. S. Allen, C. El-Zein, B. Cuneo, J. P. Cava, M. J. Barth, and M. N. Ilbawi
Pericardial tissue valves and gore-tex conduits as an alternative for right ventricular outflow tract replacement in children
Ann. Thorac. Surg., September 1, 2002; 74(3): 771 - 777.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. A. C. Pedra, H. Justino, D. G. Nykanen, G. V. MD, J. G. Coles, W. G. Williams, R. M. Freedom, and L. N. Benson
Percutaneous stent implantation to stenotic bioprosthetic valves in the pulmonary position
J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 82 - 87.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. T.H. de Ruijter, I. Weenink, F. J. Hitchcock, E. J. Meijboom, and G. B.W.E. Bennink
Right ventricular dysfunction and pulmonary valve replacement after correction of tetralogy of fallot
Ann. Thorac. Surg., June 1, 2002; 73(6): 1794 - 1800.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. R. Kanter, J. M. Budde, W. J. Parks, V. K.H. Tam, S. Sharma, W. H. Williams, and D. A. Fyfe
One hundred pulmonary valve replacements in children after relief of right ventricular outflow tract obstruction
Ann. Thorac. Surg., June 1, 2002; 73(6): 1801 - 1807.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. A. Bacha, A. M. Scheule, D. Zurakowski, L. C. Erickson, J. Hung, P. Lang, J. E. Mayer Jr, P. J. del Nido, and R. A. Jonas
Long-term results after early primary repair of tetralogy of Fallot
J. Thorac. Cardiovasc. Surg., July 1, 2001; 122(1): 154 - 161.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
J. Therrien, S. C. Siu, L. Harris, A. Dore, K. Niwa, J. Janousek, W. G. Williams, G. Webb, and M. A. Gatzoulis
Impact of Pulmonary Valve Replacement on Arrhythmia Propensity Late After Repair of Tetralogy of Fallot
Circulation, May 22, 2001; 103(20): 2489 - 2494.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M.G. Hazekamp, M.M.J. Kurvers, P.H. Schoof, H.W. Vliegen, B.M. Mulder, A.A.W. Roest, J. Ottenkamp, and R.A.E. Dion
Pulmonary valve insertion late after repair of Fallot's tetralogy
Eur. J. Cardiothorac. Surg., May 1, 2001; 19(5): 667 - 670.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. Discigil, J. A. Dearani, F. J. Puga, H. V. Schaff, D. J. Hagler, C. A. Warnes, and G. K. Danielson
Late pulmonary valve replacement after repair of tetralogy of Fallot
J. Thorac. Cardiovasc. Surg., February 1, 2001; 121(2): 0344 - 351.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
V. Rao, M. Kadletz, L. K. Hornberger, R. M. Freedom, and M. D. Black
Preservation of the pulmonary valve complex in tetralogy of Fallot: how small is too small?
Ann. Thorac. Surg., January 1, 2000; 69(1): 176 - 179.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. N. Oechslin, D. A. Harrison, L. Harris, E. Downar, G. D. Webb, S. S. Siu, and W. G. Williams
REOPERATION IN ADULTS WITH REPAIR OF TETRALOGY OF FALLOT: INDICATIONS AND OUTCOMES
J. Thorac. Cardiovasc. Surg., August 1, 1999; 118(2): 245 - 251.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
S. Conte, R. Jashari, B. Eyskens, M. Gewillig, M. Dumoulin, and W. Daenen
Homograft valve insertion for pulmonary regurgitation late after valveless repair of right ventricular outflow tract obstruction
Eur. J. Cardiothorac. Surg., February 1, 1999; 15(2): 143 - 149.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1997 by The Society of Thoracic Surgeons.