The American Heart Association scientific statement reviews contemporary management, surveillance, and therapeutic strategies for right ventricular outflow tract dysfunction in repaired tetralogy of Fallot.
This AHA scientific statement provides updated comprehensive guidance on the long-term management, surveillance, and intervention timing for right ventricular outflow tract dysfunction in patients with repaired tetralogy of Fallot.
Right ventricular outflow dysfunction, manifesting as stenosis, regurgitation, or both, is nearly universal in patients with repaired tetralogy of Fallot, precipitating a complex pathophysiological cascade that leads to increasing rates of morbidity and mortality with advancing age. As the number of adolescent and adult patients with repaired tetralogy of Fallot continues to grow as a result of excellent survival during infancy, the need to improve late outcomes has become an urgent priority. This American Heart Association scientific statement provides an update on the current state of knowledge of the pathophysiology, methods of surveillance, risk stratification, and latest available therapies, including transcatheter and surgical pulmonary valve replacement strategies, as well as management of life-threatening arrhythmias. It reviews emerging evidence on the roles of comorbidities and patient-reported outcomes and their impact on quality of life. In addition, this scientific statement explores contemporary evidence for clinical choices such as transcatheter or surgical pulmonary valve replacement, discusses criteria and options for intervention for failing implanted bioprosthetic pulmonary valves, and considers a new approach to determining optimal timing and indications for pulmonary valve replacement.
Geva et al. (Thu,) conducted a review in Right ventricular outflow tract dysfunction in repaired tetralogy of Fallot. Management and therapeutic strategies was evaluated. The American Heart Association scientific statement reviews contemporary management, surveillance, and therapeutic strategies for right ventricular outflow tract dysfunction in repaired tetralogy of Fallot.