Advertisement

Submit Manuscripts
Author Information
Subscribe/Renew
Order Reprints
Email Alerts
Feedback
RSS Feed
CME

About the Journal
Editorial Board & Staff

About JACC CME
Hardware/Software Requirements
Contact Us
Policy on Privacy and Confidentiality
Copyright Information

JACC Imaging Homepage JACC Interventions Homepage
Still not a subscriber to JACC Imaging or JACC Interventions?
Click here
to sign up now!

ACC.org
Cardiosmart
Cardiosource
CVN
Imaging Library
JACC Imaging
JACC Interventions

Click here for more guidelines.
2009 Focused Updates: ACC/AHA Guidelines for STEMI and ACC/AHA/SCAI Guidelines for PCI
2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated Into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery
ACC 2009 Advocacy Position Statement: Principles for Comparative Effectiveness Research
CME Topic Collections Past Issues Search Current Issue Home
     

J Am Coll Cardiol, 2000; 36:1670-1675
© 2000 by the American College of Cardiology Foundation
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Therrien, J.
Right arrow Articles by Webb, G. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Therrien, J.
Right arrow Articles by Webb, G. D.

CLINICAL STUDY

Pulmonary valve replacement in adults late after repair of tetralogy of Fallot: are we operating too late?

Judith Therrien, MD, FRCP(C)a, Samuel C. Siu, MD, FRCP(C)a, Peter R. McLaughlin, MD, FRCP(C)a, Peter P. Liu, MD, FRCP(C)a, William G. Williams, MD, FRCS(C)a and Gary D. Webb, MD, FRCP(C)a

a University of Toronto Congenital Cardiac Center for Adults, Toronto, Ontario, Canada

Manuscript received September 20, 1999; revised manuscript received April 17, 2000, accepted June 16, 2000.

Reprint requests and correspondence: Dr. Judith Therrien, The Sir Mortimer B Davis Jewish General Hospital, 3755 Cote Ste Catherine, Room E-206, Montreal, Quebec, H3T 1E2, Canada

OBJECTIVES

The purpose of this study is to evaluate right ventricular (RV) volume and function after pulmonary valve replacement (PVR) and to address the issue of optimal surgical timing in these patients.

BACKGROUND

Chronic pulmonary regurgitation (PR) following repair of tetralogy of Fallot (TOF) leads to RV dilation and an increased incidence of sudden cardiac death in adult patients.

METHODS

We studied 25 consecutive adult patients who underwent PVR for significant PR late after repair of TOF. Radionuclide angiography was performed in all at a mean of 8.2 months (± 8 months) before PVR and repeated at a mean of 28.0 months (± 22.8 months) after the operation. Right ventricular (RV) end-systolic volume (RVESV), RV end-diastolic volume (RVEDV) and RV ejection fraction (RVEF) were measured.

RESULTS

Mean RVEDV, RVESV and RVEF remained unchanged after PVR (227.1 ml versus 214.9 ml, p = 0.74; 157.4 ml versus 155.4 ml, p = 0.94; 35.6% versus 34.7%, p = 0.78, respectively). Of the 10 patients with RVEF ≥ 0.40 before PVR, 5 patients (50%) maintained a RVEF ≥ 0.40 following PVR, whereas only 2 out of 15 patients (13%) with pre-operative values <0.40 reached an RVEF ≥ 0.40 postoperatively (p < 0.001).

CONCLUSIONS

Right ventricular recovery following PVR for chronic significant pulmonary regurgitation after repair of TOF may be compromised in the adult population. In order to maintain adequate RV contractility, pulmonary valve implant in these patients should be considered before RV function deteriorates.

Abbreviations and Acronyms
  LV = left ventricular, left ventricle
  MRI = magnetic resonance imaging
  PR = pulmonary regurgitation
  PVR = pulmonary valve replacement
  RNA = radionuclide angiography, radionuclide angiogram
  RV = right ventricular, right ventricle
  RVEDV = right ventricular end-diastolic volume
  RVEF = right ventricular ejection fraction
  RVESV = right ventricular end-systolic volume
  RVOT = right ventricular outflow tract
  TOF = Tetralogy of Fallot




This article has been cited by other articles:


Home page
 J Am Coll CardiolHome page
E. Bedard, K. P. McCarthy, K. Dimopoulos, G. Giannakoulas, M. A. Gatzoulis, and S. Y. Ho
Structural abnormalities of the pulmonary trunk in tetralogy of fallot and potential clinical implications: a morphological study.
J. Am. Coll. Cardiol., November 10, 2009; 54(20): 1883 - 1890.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
J. Bouchardy, J. Therrien, L. Pilote, R. Ionescu-Ittu, G. Martucci, N. Bottega, and A. J. Marelli
Atrial Arrhythmias in Adults With Congenital Heart Disease
Circulation, October 27, 2009; 120(17): 1679 - 1686.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Giamberti, M. Chessa, R. Abella, G. Butera, C. Carlucci, H. Nuri, A. Frigiola, and M. Ranucci
Morbidity and mortality risk factors in adults with congenital heart disease undergoing cardiac reoperations.
Ann. Thorac. Surg., October 1, 2009; 88(4): 1284 - 1289.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
W. M. Book, B. Kogon, and M. E. McConnell
Letter by Book et al Regarding Article, "Pulmonary Valve Replacement in Tetralogy of Fallot: Impact on Survival and Ventricular Tachycardia"
Circulation, September 8, 2009; 120(10): e79 - e79.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. J. Petit, M. J. Gillespie, M. A. Harris, T. L. Seymour, T. Y. Liu, A. Khan, J. W. Gaynor, and J. J. Rome
Relief of branch pulmonary artery stenosis reduces pulmonary valve insufficiency in a swine model.
J. Thorac. Cardiovasc. Surg., August 1, 2009; 138(2): 382 - 389.
[Abstract] [Full Text] [PDF]

Home page
 Eur J EchocardiogrHome page
X. Iriart, M. Montaudon, S. Lafitte, J. Chabaneix, P. Reant, T. Balbach, H. Houle, F. Laurent, and J.-B. Thambo
Right ventricle three-dimensional echography in corrected tetralogy of fallot: accuracy and variability
Eur J Echocardiogr, August 1, 2009; 10(6): 784 - 792.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
C. J. Bruce and H. M. Connolly
Right-Sided Valve Disease Deserves a Little More Respect
Circulation, May 26, 2009; 119(20): 2726 - 2734.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
T. S. Momenah, R. El Oakley, K. Al Najashi, S. Khoshhal, H. Al Qethamy, and P. Bonhoeffer
Extended Application of Percutaneous Pulmonary Valve Implantation
J. Am. Coll. Cardiol., May 19, 2009; 53(20): 1859 - 1863.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. H. Huber, M. Hurni, V. Tsang, and L. K. von Segesser
Valved stents for transapical pulmonary valve replacement
J. Thorac. Cardiovasc. Surg., April 1, 2009; 137(4): 914 - 918.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. M. Wald, I. Haber, R. Wald, A. M. Valente, A. J. Powell, and T. Geva
Effects of Regional Dysfunction and Late Gadolinium Enhancement on Global Right Ventricular Function and Exercise Capacity in Patients With Repaired Tetralogy of Fallot
Circulation, March 17, 2009; 119(10): 1370 - 1377.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. J. Hickey, G. Veldtman, T. J. Bradley, A. Gengsakul, C. Manlhiot, W. G. Williams, G. D. Webb, and B. W. McCrindle
Late risk of outcomes for adults with repaired tetralogy of Fallot from an inception cohort spanning four decades
Eur. J. Cardiothorac. Surg., January 1, 2009; 35(1): 156 - 164.
[Abstract] [Full Text] [PDF]

Home page
 ESC Textbook of Cardiovascular MedicineHome page
J. E. Deanfield, R. Yates, F. J. Meijboom, and B. J.M. Mulder
CHAPTER 10 Congenital Heart Disease in Children and Adults
ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. M. Marianeschi, F. Santoro, E. Ribera, E. Catena, G. Vignati, S. Ghiselli, S. Pedretti, O. Suleyman, H. Ustunsoy, and P. A. Berdat
Pulmonary Valve Implantation With the New Shelhigh Injectable Stented Pulmonic Valve
Ann. Thorac. Surg., November 1, 2008; 86(5): 1466 - 1472.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
2006 WRITING COMMITTEE MEMBERS, R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, et al.
2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Circulation, October 7, 2008; 118(15): e523 - e661.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al.
2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
J. Am. Coll. Cardiol., September 23, 2008; 52(13): e1 - e142.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. Frigiola, V. Tsang, J. Nordmeyer, P. Lurz, C. van Doorn, A. M. Taylor, P. Bonhoeffer, and M. de Leval
Current approaches to pulmonary regurgitation
Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 576 - 581.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
P. Lurz, L. Coats, S. Khambadkone, J. Nordmeyer, Y. Boudjemline, S. Schievano, V. Muthurangu, T. Y. Lee, G. Parenzan, G. Derrick, et al.
Percutaneous Pulmonary Valve Implantation: Impact of Evolving Technology and Learning Curve on Clinical Outcome
Circulation, April 15, 2008; 117(15): 1964 - 1972.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. J. Sommer, Z. M. Hijazi, and J. F. Rhodes
Pathophysiology of Congenital Heart Disease in the Adult: Part III: Complex Congenital Heart Disease
Circulation, March 11, 2008; 117(10): 1340 - 1350.
[Full Text] [PDF]

Home page
 HeartHome page
A L Knauth, K Gauvreau, A J Powell, M J Landzberg, E P Walsh, J E Lock, P J d. Nido, and T Geva
Ventricular size and function assessed by cardiac MRI predict major adverse clinical outcomes late after tetralogy of Fallot repair
Heart, February 1, 2008; 94(2): 211 - 216.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
F. J. Meijboom, J. W. Roos-Hesselink, J. S. McGhie, S. E.C. Spitaels, R. T. van Domburg, L. M.W.J. Utens, M. L. Simoons, and A. J.J.C. Bogers
Consequences of a selective approach toward pulmonary valve replacement in adult patients with tetralogy of Fallot and pulmonary regurgitation
J. Thorac. Cardiovasc. Surg., January 1, 2008; 135(1): 50 - 55.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
H. Laks, D. Marelli, M. Plunkett, and J. Myers
Adult Congenital Heart Disease
Card. Surg. Adult, January 1, 2008; 3(2008): 1431 - 1464.
[Full Text]

Home page
 Eur Heart JHome page
L. Coats, S. Khambadkone, G. Derrick, M. Hughes, R. Jones, B. Mist, D. Pellerin, J. Marek, J. E. Deanfield, P. Bonhoeffer, et al.
Physiological consequences of percutaneous pulmonary valve implantation: the different behaviour of volume- and pressure-overloaded ventricles
Eur. Heart J., August 1, 2007; 28(15): 1886 - 1893.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
L. Mertens
Deciphering the mystery of the leaky pulmonary valve in a new era of interventional cardiology
Eur. Heart J., August 1, 2007; 28(15): 1793 - 1794.
[Full Text] [PDF]

Home page
 CirculationHome page
T. Oosterhof, A. van Straten, H. W. Vliegen, F. J. Meijboom, A. P.J. van Dijk, A. M. Spijkerboer, B. J. Bouma, A. H. Zwinderman, M. G. Hazekamp, A. de Roos, et al.
Preoperative Thresholds for Pulmonary Valve Replacement in Patients With Corrected Tetralogy of Fallot Using Cardiovascular Magnetic Resonance
Circulation, July 31, 2007; 116(5): 545 - 551.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. A. Padalino, S. Speggiorin, G. Rizzoli, G. Crupi, V. L. Vida, M. Bernabei, G. Gargiulo, A. Giamberti, F. Santoro, C. Vosa, et al.
Midterm results of surgical intervention for congenital heart disease in adults: An Italian multicenter study
J. Thorac. Cardiovasc. Surg., July 1, 2007; 134(1): 106 - 113.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
E. P. Walsh
Interventional Electrophysiology in Patients With Congenital Heart Disease
Circulation, June 26, 2007; 115(25): 3224 - 3234.
[Full Text] [PDF]

Home page
 CirculationHome page
T. M. Bashore
Adult Congenital Heart Disease: Right Ventricular Outflow Tract Lesions
Circulation, April 10, 2007; 115(14): 1933 - 1947.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
O. Ghez, V. T. Tsang, A. Frigiola, L. Coats, A. Taylor, C. Van Doorn, P. Bonhoeffer, and M. De Leval
Right ventricular outflow tract reconstruction for pulmonary regurgitation after repair of tetralogy of Fallot.: Preliminary results
Eur. J. Cardiothorac. Surg., April 1, 2007; 31(4): 654 - 658.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. R. Henkens, A. van Straten, M. J. Schalij, M. G. Hazekamp, A. de Roos, E. E. van der Wall, and H. W. Vliegen
Predicting Outcome of Pulmonary Valve Replacement in Adult Tetralogy of Fallot Patients
Ann. Thorac. Surg., March 1, 2007; 83(3): 907 - 911.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Schreiber, J. Horer, M. Vogt, S. Fratz, M. Kunze, C. Galm, A. Eicken, and R. Lange
A new treatment option for pulmonary valvar insufficiency: first experiences with implantation of a self-expanding stented valve without use of cardiopulmonary bypass
Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 26 - 30.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Heart FailHome page
A. Giardini, S. Specchia, G. Coutsoumbas, A. Donti, R. Formigari, R. Fattori, G. Oppido, G. Gargiulo, and F. M. Picchio
Impact of pulmonary regurgitation and right ventricular dysfunction on oxygen uptake recovery kinetics in repaired tetralogy of Fallot
Eur J Heart Fail, November 1, 2006; 8(7): 736 - 743.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
R. O. Bonow, B. A. Carabello, K. Chatterjee, A. C. de Leon Jr, D. P. Faxon, M. D. Freed, W. H. Gaasch, B. W. Lytle, R. A. Nishimura, P. T. O'Gara, et al.
ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease) Developed in Collaboration With the Society of Cardiovascular Anesthesiologists Endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons
J. Am. Coll. Cardiol., August 1, 2006; 48(3): e1 - e148.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
T. Oosterhof, F. J. Meijboom, H. W. Vliegen, M. G. Hazekamp, A. H. Zwinderman, B. J. Bouma, A. P.J. van Dijk, and B. J.M. Mulder
Long-term follow-up of homograft function after pulmonary valve replacement in patients with tetralogy of Fallot
Eur. Heart J., June 2, 2006; 27(12): 1478 - 1484.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. A. Berdat and T. Carrel
Off-pump pulmonary valve replacement with the new Shelhigh Injectable Stented Pulmonic Valve
J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 1192 - 1193.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
U. K. Chowdhury, K. K. Pradeep, C. D. Patel, R. Singh, A. S. Kumar, B. Airan, G. S. Gulati, S. S. Kothari, A. Saxena, M. Kalaivani, et al.
Noninvasive Assessment of Repaired Tetralogy of Fallot by Magnetic Resonance Imaging and Dynamic Radionuclide Studies
Ann. Thorac. Surg., April 1, 2006; 81(4): 1436 - 1442.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. F. Corno, M. J. Kocica, and F. Torrent-Guasp
The helical ventricular myocardial band of Torrent-Guasp: potential implications in congenital heart defects
Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S61 - S68.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. Frigiola, A. Giamberti, M. Chessa, M. Di Donato, R. Abella, S. Foresti, C. Carlucci, D. Negura, M. Carminati, G. Buckberg, et al.
Right ventricular restoration during pulmonary valve implantation in adults with congenital heart disease
Eur. J. Cardiothorac. Surg., April 1, 2006; 29(Suppl_1): S279 - S285.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
P A Davlouros, K Niwa, G Webb, and M A Gatzoulis
The right ventricle in congenital heart disease
Heart, April 1, 2006; 92(suppl_1): i27 - i38.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
P. Engelfriet, J. Tijssen, H. Kaemmerer, M. A. Gatzoulis, E. Boersma, E. Oechslin, E. Thaulow, J. Popelova, P. Moons, F. Meijboom, et al.
Adherence to guidelines in the clinical care for adults with congenital heart disease: The Euro Heart Survey on Adult Congenital Heart Disease
Eur. Heart J., March 2, 2006; 27(6): 737 - 745.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
R. G. Williams, G. D. Pearson, R. J. Barst, J. S. Child, P. del Nido, W. M. Gersony, K. S. Kuehl, M. J. Landzberg, M. Myerson, S. R. Neish, et al.
Report of the National Heart, Lung, and Blood Institute Working Group on Research in Adult Congenital Heart Disease
J. Am. Coll. Cardiol., February 21, 2006; 47(4): 701 - 707.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
K. I. Norton, C. Tong, R. B. J. Glass, and J. C. Nielsen
Cardiac MR Imaging Assessment Following Tetralogy of Fallot Repair
RadioGraphics, January 1, 2006; 26(1): 197 - 211.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
E. R. V. Buechel, H. H. Dave, C. J. Kellenberger, A. Dodge-Khatami, R. Pretre, F. Berger, and U. Bauersfeld
Remodelling of the right ventricle after early pulmonary valve replacement in children with repaired tetralogy of Fallot: assessment by cardiovascular magnetic resonance
Eur. Heart J., December 2, 2005; 26(24): 2721 - 2727.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
E. E. van der Wall and B. J.M. Mulder
Pulmonary valve replacement in patients with tetralogy of Fallot and pulmonary regurgitation: early surgery similar to optimal timing of surgery?
Eur. Heart J., December 2, 2005; 26(24): 2614 - 2615.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. H. Dave, E. R. V. Buechel, A. Dodge-Khatami, A. Kadner, V. Rousson, U. Bauersfeld, and R. Pretre
Early Insertion of a Pulmonary Valve for Chronic Regurgitation Helps Restoration of Ventricular Dimensions
Ann. Thorac. Surg., November 1, 2005; 80(5): 1615 - 1621.
[Abstract] [Full Text] [PDF]

Home page
 J. Appl. Physiol.Home page
T. Kuehne, B. K. Gleason, M. Saeed, D. Turner, J. Weil, D. F. Teitel, C. B. Higgins, and P. Moore
Combined pulmonary stenosis and insufficiency preserves myocardial contractility in the developing heart of growing swine at midterm follow-up
J Appl Physiol, October 1, 2005; 99(4): 1422 - 1427.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Attmann, T. Jahnke, R. Quaden, A. Boening, S. Muller-Hulsbeck, J. Cremer, and G. Lutter
Advances in Experimental Percutaneous Pulmonary Valve Replacement
Ann. Thorac. Surg., September 1, 2005; 80(3): 969 - 975.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
S. Khambadkone, L. Coats, A. Taylor, Y. Boudjemline, G. Derrick, V. Tsang, J. Cooper, V. Muthurangu, S. R. Hegde, R. S. Razavi, et al.
Percutaneous Pulmonary Valve Implantation in Humans: Results in 59 Consecutive Patients
Circulation, August 23, 2005; 112(8): 1189 - 1197.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
C. A. Warnes
The Adult With Congenital Heart Disease: Born To Be Bad?
J. Am. Coll. Cardiol., July 5, 2005; 46(1): 1 - 8.
[Abstract] [Full Text] [PDF]

Home page
 Mayo Clin Proc.Home page
M. G. Earing, H. M. Connolly, J. A. Dearani, N. M. Ammash, M. Grogan, and C. A. Warnes
Long-term Follow-up of Patients After Surgical Treatment for Isolated Pulmonary Valve Stenosis
Mayo Clin. Proc., July 1, 2005; 80(7): 871 - 876.
[Abstract] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
L. Coats, V. Tsang, S. Khambadkone, C. van Doorn, S. Cullen, J. Deanfield, M. R. de Leval, and P. Bonhoeffer
The potential impact of percutaneous pulmonary valve stent implantation on right ventricular outflow tract re-intervention
Eur. J. Cardiothorac. Surg., April 1, 2005; 27(4): 536 - 543.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Y. Boudjemline, S. Schievano, C. Bonnet, L. Coats, G. Agnoletti, S. Khambadkone, D. Bonnet, J. Deanfield, D. Sidi, and P. Bonhoeffer
Off-pump replacement of the pulmonary valve in large right ventricular outflow tracts: A hybrid approach
J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 831 - 837.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Lembcke, P. M. Dohmen, M. Dewey, C. Klessen, T. Elgeti, K.-G. A. Hermann, W. F. Konertz, B. Hamm, and D. E. Kivelitz
Multislice Computed Tomography for Preoperative Evaluation of Right Ventricular Volumes and Function: Comparison With Magnetic Resonance Imaging
Ann. Thorac. Surg., April 1, 2005; 79(4): 1344 - 1351.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. A. Quintessenza, J. P. Jacobs, V. O. Morell, J. M. Giroud, and R. J. Boucek
Initial Experience With a Bicuspid Polytetrafluoroethylene Pulmonary Valve in 41 Children and Adults: A New Option For Right Ventricular Outflow Tract Reconstruction
Ann. Thorac. Surg., March 1, 2005; 79(3): 924 - 931.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
B. Bouzas, P. J. Kilner, and M. A. Gatzoulis
Pulmonary regurgitation: not a benign lesion
Eur. Heart J., March 1, 2005; 26(5): 433 - 439.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
T. Oosterhof, J.W.J. Vriend, B.J.M. Mulder, A. Frigiola, S. Cullen, A. Redington, and M. Vogel
Letter Regarding Article by Frigiola et al, "Pulmonary Regurgitation Is an Important Determinant of Right Ventricular Contractile Dysfunction in Patients With Surgically Repaired Tetralogy of Fallot" * Response
Circulation, March 1, 2005; 111(8): e112 - e112.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
V. Gober, P. Berdat, M. Pavlovic, J.-P. Pfammatter, and T. P. Carrel
Adverse Mid-Term Outcome Following RVOT Reconstruction Using the Contegra Valved Bovine Jugular Vein
Ann. Thorac. Surg., February 1, 2005; 79(2): 625 - 631.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
S K Srinathan, R S Bonser, B Sethia, S A Thorne, W J Brawn, and D J Barron
Changing practice of cardiac surgery in adult patients with congenital heart disease
Heart, February 1, 2005; 91(2): 207 - 212.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
A. van Straten, H. W. Vliegen, M. G. Hazekamp, J. J. Bax, P. H. Schoof, J. Ottenkamp, E. E. van der Wall, and A. de Roos
Right Ventricular Function after Pulmonary Valve Replacement in Patients with Tetralogy of Fallot
Radiology, December 1, 2004; 233(3): 824 - 829.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. A. Ali, J. C. Halstead, A.-R. Hosseinpour, Z. A. Ali, S. Kumar, and J. Wallwork
Replacement of a Regurgitant Pulmonary Valve with a Stentless Bioprosthesis
Ann. Thorac. Surg., October 1, 2004; 78(4): 1467 - 1468.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
A. Frigiola, A.N. Redington, S. Cullen, and M. Vogel
Pulmonary Regurgitation Is an Important Determinant of Right Ventricular Contractile Dysfunction in Patients With Surgically Repaired Tetralogy of Fallot
Circulation, September 14, 2004; 110(11_suppl_1): II-153 - II-157.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Lim, J. Y. Lee, W.-H. Kim, S.-C. Kim, J.-Y. Song, S.-J. Kim, J.-H. Choh, and C. Whan Kim
Early replacement of pulmonary valve after repair of tetralogy: is it really beneficial?
Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 728 - 734.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
T. Geva, B. M. Sandweiss, K. Gauvreau, J. E. Lock, and A. J. Powell
Factors associated with impaired clinical status in long-term survivors of tetralogy of Fallot repair evaluated by magnetic resonance imaging
J. Am. Coll. Cardiol., March 17, 2004; 43(6): 1068 - 1074.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. G. Warner, P. K. H. O'Brien, J. Rhodes, A. Kaur, D. A. Robinson, and D. D. Payne
Expanding the indications for pulmonary valve replacement after repair of tetralogy of fallot
Ann. Thorac. Surg., October 1, 2003; 76(4): 1066 - 1071.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Q. Zhou, A. F. Corno, C. H. Huber, P. Tozzi, and L. K. von Segesser
Self-expandable valved stent of large size: off-bypass implantation in pulmonary position
Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 212 - 216.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
J. Heggie, N. Poirer, W. G. Williams, and J. Karski
Anesthetic Considerations for Adult Cardiac Surgery Patients with Congenital Heart Disease
Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2003; 7(2): 141 - 152.
[Abstract] [PDF]

Home page
 RadiologyHome page
T. Kuehne, M. Saeed, C. B. Higgins, K. Gleason, G. A. Krombach, O. M. Weber, A. J. Martin, D. Turner, D. Teitel, and P. Moore
Endovascular Stents in Pulmonary Valve and Artery in Swine: Feasibility Study of MR Imaging-guided Deployment and Postinterventional Assessment
Radiology, February 1, 2003; 226(2): 475 - 481.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
H. Laks, D. Marelli, M. Plunkett, J. Odim, and J. Myers
Adult Congenital Heart Disease
Card. Surg. Adult, January 1, 2003; 2(2003): 1329 - 1358.
[Full Text]

Home page
 J Am Coll CardiolHome page
P. A. Davlouros, P. J. Kilner, T. S. Hornung, W. Li, J. M. Francis, J. C. C. Moon, G. C. Smith, T. Tat, D. J. Pennell, and M. A. Gatzoulis
Right ventricular function in adults with repaired tetralogy of Fallot assessed with cardiovascular magnetic resonance imaging: detrimental role of right ventricular outflow aneurysms or akinesia and adverse right-to-left ventricular interaction
J. Am. Coll. Cardiol., December 4, 2002; 40(11): 2044 - 2052.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
H. W. Vliegen, A. van Straten, A. de Roos, A. A.W. Roest, P. H. Schoof, A. H. Zwinderman, J. Ottenkamp, E. E. van der Wall, and M. G. Hazekamp
Magnetic Resonance Imaging to Assess the Hemodynamic Effects of Pulmonary Valve Replacement in Adults Late After Repair of Tetralogy of Fallot
Circulation, September 24, 2002; 106(13): 1703 - 1707.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
G. A. Varaprasathan, P. A. Araoz, C. B. Higgins, and G. P. Reddy
Quantification of Flow Dynamics in Congenital Heart Disease: Applications of Velocity-encoded Cine MR Imaging
RadioGraphics, July 1, 2002; 22(4): 895 - 905.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. R. Kanter, J. M. Budde, W. J. Parks, V. K.H. Tam, S. Sharma, W. H. Williams, and D. A. Fyfe
One hundred pulmonary valve replacements in children after relief of right ventricular outflow tract obstruction
Ann. Thorac. Surg., June 1, 2002; 73(6): 1801 - 1807.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
P. Bonhoeffer, Y. Boudjemline, S. A. Qureshi, J. Le Bidois, L. Iserin, P. Acar, J. Merckx, J. Kachaner, and D. Sidi
Percutaneous insertion of the pulmonary valve
J. Am. Coll. Cardiol., May 15, 2002; 39(10): 1664 - 1669.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
T. Kuehne, M. Saeed, G. Reddy, H. Akbari, K. Gleason, D. Turner, D. Teitel, P. Moore, and C. B. Higgins
Sequential Magnetic Resonance Monitoring of Pulmonary Flow With Endovascular Stents Placed Across the Pulmonary Valve in Growing Swine
Circulation, November 6, 2001; 104(19): 2363 - 2368.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
H. Ohuchi, K. Yasuda, S. Hasegawa, A. Miyazaki, M. Takamuro, O. Yamada, Y. Ono, H. Uemura, T. Yagihara, and S. Echigo
Influence of ventricular morphology on aerobic exercise capacity in patients after the Fontan operation
J. Am. Coll. Cardiol., June 1, 2001; 37(7): 1967 - 1974.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
Y. d'Udekem, J. Rubay, and C. Ovaert
Failure of right ventricular recovery of Fallot patients after pulmonary valve replacement: delay of reoperation or surgical technique?
J. Am. Coll. Cardiol., June 1, 2001; 37(7): 2008 - 2009.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. Therrien, G. Webb, and W. G. Williams
Reply
J. Am. Coll. Cardiol., June 1, 2001; 37(7): 2009 - 2009.
[Full Text] [PDF]

Home page
 CirculationHome page
J. Therrien, S. C. Siu, L. Harris, A. Dore, K. Niwa, J. Janousek, W. G. Williams, G. Webb, and M. A. Gatzoulis
Impact of Pulmonary Valve Replacement on Arrhythmia Propensity Late After Repair of Tetralogy of Fallot
Circulation, May 22, 2001; 103(20): 2489 - 2494.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
A. A. W. Roest, W. A. Helbing, P. Kunz, J. G. van den Aardweg, H. J. Lamb, H. W. Vliegen, E. E. van der Wall, and A. de Roos
Exercise MR Imaging in the Assessment of Pulmonary Regurgitation and Biventricular Function in Patients after Tetralogy of Fallot Repair
Radiology, April 1, 2002; 223(1): 204 - 211.
[Abstract] [Full Text] [PDF]


 
  CME Topic Collections Past Issues Search Current Issue Home

Advertisement