Key result
Echocardiography plays a crucial role in the follow-up of adult patients with Tetralogy of Fallot to monitor residual anatomic and hemodynamic abnormalities.
Echocardiography is a key modality for the mandatory long-term follow-up of adult patients with repaired tetralogy of Fallot.
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Residual lesions mandate lifelong surveillance in adult TOF survivors; extends long-term outcome data while leaving optimal follow-up protocols open.
Tetralogy of Fallot (TOF) is one of the most common cyanotic congenital heart diseases. With surgical repair and the advances in postoperative care, contemporary mortality has dramatically improved and an increasing number of patients survive into adulthood, leading to a growing number of adult TOF. However, residual anatomic and hemodynamic abnormalities are encountered in nearly all patients, making follow-up mandatory. Furthermore, mortality starts to increase 25 years after surgery, emphasizing that, in adult TOF, closer monitoring is necessary. We review here the role of echocardiography in the follow-up of the TOF patients, emphasizing the role of multiple echocardiographic techniques.
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Daraban et al. (2016) conducted a review in Tetralogy of Fallot. Echocardiography was evaluated. Echocardiography plays a crucial role in the follow-up of adult patients with Tetralogy of Fallot to monitor residual anatomic and hemodynamic abnormalities.
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