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European Heart Journal Advance Access published online on July 3, 2009
European Heart Journal, 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’, by J. Nordmeyer et al. doi:10.1093/eurheartj/ehp204

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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Related articles in EHJ:

Quantitative assessment of homograft function 1 year after insertion into the pulmonary position: impact of in situ homograft geometry on valve competence
Johannes Nordmeyer, Victor Tsang, Régis Gaudin, Philipp Lurz, Alessandra Frigiola, Alexander Jones, Silvia Schievano, Carin van Doorn, Philipp Bonhoeffer, and Andrew M. Taylor
EHJ 2009 30: 2147-2154. [Abstract] [Full Text]