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European Heart Journal Advance Access originally published online on July 3, 2009
European Heart Journal 2009 30(17):2076-2078; doi:10.1093/eurheartj/ehp283
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Doing the right thing at the right time: is there more to pulmonary valve replacement than meets the eye?

Lars Grosse-Wortmann and Andrew Redington*

Division of Cardiology, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5g1X8

* Corresponding author. Tel: +1 416 813 6132, Fax: +1 416 813 7547, Email: andrew.redington@sickkids.ca

This editorial refers to ‘Quantitative assessment of homograft function 1 year after insertion into the pulmonary position: impact of in situ homograft geometry on valve competence’{dagger}, by J. Nordmeyer et al., on page 2147

The first 10% of the full text of this article appears below.

Prior to Lillehei's first intracardiac repair, a child born with tetralogy of Fallot had a 50% chance of being alive at the age of 2 years.1 In the modern era, >90% of patients reach the age of 40.2 This dramatic increase in survival is primarily a reflection of the improvements in surgical technique and peri-operative care at the time of primary repair. Indeed, the overall late mortality and morbidity have not changed substantially during the last decades.2 Consequently there are a growing number of teenage and adult survivors after right ventricular outflow tract (RVOT) surgery, many of whom are destined to become symptomatic as a result of decades of free pulmonary incompetence. Previously thought to be the innocent . . . [Full Text of this Article]


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