December 6, 2025Heart Failure ReviewsOpen Access

From repair to right heart failure: Understanding the evolving landscape in tetralogy of fallot

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Discussion

Review discusses right heart failure and its management in repaired TOF, suggesting need for improved clinical decision-making.

Right heart failure is a primary cause of mortality in adults with repaired Tetralogy of Fallot, highlighting the need for better management.
Surgical repair significantly improves survival rates, yet many adults experience long-term complications such as right ventricular dysfunction.
Management approaches include multimodal imaging and exercise testing, which are crucial for monitoring patient status.
Improved clinical decision-making is essential to address knowledge gaps and enhance long-term outcomes for this patient population.

Borrelli et al. (2025) studied this question.

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