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Tetralogy of Fallot: Management of the Pulmonary Valve

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Surgery of Conotruncal Anomalies

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Abstract

Repair of TOF can be accomplished with low mortality and excellent long-term survival. Event free survival however remains a significant problem. Long-term procedural risks related to right ventricular outflow tract obstruction or more importantly right ventricular dilatation, dysfunction and arrhythmia related to chronic pulmonary insufficiency, continue to affect our patients. Adequate relief of right ventricular outflow tract obstruction with emphasis on preserving a functional right ventricle as well as valve preservation strategies at the time of surgical repair, are recommended. A precise evaluation of the anatomy and technical readiness to perform valve-preserving procedures are essential for the surgeon. Inferences from long term data out to 50 years support these concepts.

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Authors and Affiliations

  1. Division of Cardiac Surgery, Department of Cardiovascular Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital, St. Petersburg, FL, USA

    James A. Quintessenza MD

Authors
  1. James A. Quintessenza MD
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Correspondence to James A. Quintessenza MD .

Editor information

Editors and Affiliations

  1. Royal Brompton Hospital, London, United Kingdom

    Francois Lacour-Gayet

  2. C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan, USA

    Edward L. Bove

  3. German Pediatric Heart Center, Asklepios Klinik Sankt Augustin Gmb, Sankt Augustin, Germany

    Viktor Hraška

  4. University of Pittsburgh Medical School, Pittsburgh, Pennsylvania, USA

    Victor O. Morell

  5. Department of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Thomas L. Spray

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Quintessenza, J.A. (2016). Tetralogy of Fallot: Management of the Pulmonary Valve. In: Lacour-Gayet, F., Bove, E., Hraška, V., Morell, V., Spray, T. (eds) Surgery of Conotruncal Anomalies. Springer, Cham. https://doi.org/10.1007/978-3-319-23057-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-23057-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23056-6

  • Online ISBN: 978-3-319-23057-3

  • eBook Packages: MedicineMedicine (R0)

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