Pulmonary valve replacement in primary repair of tetralogy of Fallot in adult patients.

ABSTRACT:

Background

Adults with unrepaired tetralogy of Fallot (ToF) are common in developing countries. Long-term overload of the right ventricle places adult patients at risk for postoperative right heart failure after primary repair, which contributes to morbidity and mortality. The effect of pulmonary valve replacement (PVR) in reducing postoperative morbidity and mortality in adults has never been validated.

Methods

We conducted a retrospective cohort study in adults (age ≥18 years) with ToF undergoing primary repair from January 2014 to December 2019 at our institution. Patients were divided into three groups according to techniques used to enlarge the right ventricle outflow tract (RVOT). Baseline variables and perioperative outcomes were collected. The primary endpoint was op

SUBMITTER: Liu H 

PROVIDER: S-EPMC7578467 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature