Abstract
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.
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Giamberti, A., Pomè, G., Frigiola, A. (2012). Surgical Pulmonary Valve Implantation. In: Chessa, M., Giamberti, A. (eds) The Right Ventricle in Adults with Tetralogy of Fallot. Springer, Milano. https://doi.org/10.1007/978-88-470-2358-1_12
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DOI: https://doi.org/10.1007/978-88-470-2358-1_12
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