European Heart Journal Advance Access originally published online on October 25, 2005
European Heart Journal 2005 26(24):2614-2615; doi:10.1093/eurheartj/ehi613
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Pulmonary valve replacement in patients with tetralogy of Fallot and pulmonary regurgitation: early surgery similar to optimal timing of surgery?
1Department of Cardiology, C5-P28, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands
2Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands
* Corresponding author. Tel: +31 71 5262020, fax: +31 71 5248116. E-mail address: e.e.van_der_wall@lumc.nl
This editorial refers to ‘Remodelling of the right ventricle after early pulmonary valve replacement in children with repaired tetralogy of Fallot: assessment by cardiovascular magnetic resonance’
by E.R. Valsangiacomo Büchel et al., on page 2721
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Tetralogy of Fallot is the most common form of cyanotic congenital heart disease, with a prevalence of 0.26–0.8 per 1000 live births.1 Total repair for tetralogy of Fallot has been available for 50 years with a favourable outcome in most patients. Today, one is faced with an increasing number of patients with residual pulmonary regurgitation. It was previously thought that pulmonary regurgitation in Fallot patients was rather harmless. However, accurate measurements of right ventricular volumes using cardiovascular magnetic resonance (CMR) imaging have visualized important enlargement of the right ventricle in patients with severe pulmonary regurgitation.2 Moreover, it has been recently demonstrated that pulmonary regurgitation leads to progressive right ventricular dilatation and, with time, to right ventricular
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Related articles in EHJ:
- Remodelling of the right ventricle after early pulmonary valve replacement in children with repaired tetralogy of Fallot: assessment by cardiovascular magnetic resonance
- Emanuela R. Valsangiacomo Buechel, Hitendu H. Dave, Christian J. Kellenberger, Ali Dodge-Khatami, Rene Pretre, Felix Berger, and Urs Bauersfeld
EHJ 2005 26: 2721-2727.[Abstract] [Full Text]
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