Improved right ventricular outflow tract function in patients with Tetralogy of Fallot after infundibular sparing compared to transventricular repair
نویسندگان
چکیده
Background The right ventricular infundibular sparing approach (RVIS) to repair tetralogy of Fallot (TOF) avoids a ventricular incision used in the transventricular (TV) approach. Recent data has demonstrated better global right ventricular systolic function in patients who underwent RVIS compared to those who had a TV repair, however the impact of surgical strategy on RV infundibular size and function is not specifically known. We hypothesized that patients repaired with the RVIS approach have improved RV outflow tract ejection fraction (RVOTEF) and have lower RV outflow tract volumes as assessed by cardiac magnetic resonance (CMR) compared with those repaired with the TV approach.
منابع مشابه
Right ventricular Hemodynamic Alteration after Pulmonary Valve Replacement in Children with Congenital Heart Disease
Introduction: In patients who underwent surgery to repair Tetralogy of Fallot, right ventricular dilation from pulmonary regurgitation may be result in right ventricular failure, arrhythmias and cardiac arrest. Hence, pulmonary valve replacement may be necessary to reduce right ventricular volume overload. The aim of present study was to assess the effects of pulmonary valve replacement on rig...
متن کاملبررسی عملکرد بطنها با اکوکاردیوگرافی در نارسایی دریچه ریوی پس از جراحی تترالوژی فالوت
Background: Tetralogy of Fallot is the most common cyanotic congenital heart disease. The systolic and diastolic function in both ventricles is altered even after successful corrective surgery for this defect with a transannular patch. Pulmonary regurgitation, a common complication after this treatment, is usually well tolerated in childhood. The aim of this study was to assess the combined dia...
متن کاملStent migration after right ventricular outflow tract stenting in the severe cyanotic Tetralogy of Fallot case
We report our experience with a stent migration after right ventricle outflow tract stenting and converted to patent ductus arteriosus stenting in Tetralogy of Fallot (TOF) with severe infundibular stenosis. Finally, the patient achieved to TOF repair, and the migrated stent was removed without any complication.
متن کاملThe mechanism of apparent right bundle branch block after transatrial repair of tetralogy of Fallot.
The electrocardiographic pattern of right bundle branch block (RBBB) is routinely observed after transatrial repair of tetralogy of Fallot even though no ventriculotomy has been performed. The mechanism of this conduction disturbance was studied in 16 patients with tetralogy of Fallot and one patient with infundibular pulmonic stenosis. Preoperative ECGs and vectorcardiograms showed right ventr...
متن کاملMain indications and long-term outcomes of reoperation after initial repair of tetralogy of Fallot
Background and Objective: The aim of this study was to analyze our indications, surgical procedures, and clinical outcomes of patients undergoing reoperation after surgical correction of tetralogy of Fallot (TOF). Methods: Thirty seven consecutive patients who underwent reoperation late after intra-cardiac repair of TOF within a period of 10 years were assessed. Results: The most co...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 17 شماره
صفحات -
تاریخ انتشار 2015