What question did this study set out to answer?

To investigate long-term morbidity, mortality, and re-intervention rates in patients undergoing surgical correction for pulmonary stenosis between 1957 and 2000.

July 21, 2015Cardiology in the Young

Surgically treated pulmonary stenosis: over 50 years of follow-up

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Population

n=80 patients with surgically treated pulmonary stenosis operated at Aarhus University Hospital between 1957…

Design

Cohort

Follow-up

median 33 years (maximum 57 years)

Authors

ENEva Amalie NielsenAarhus University Hospital VHVibeke E. HjortdalPediatric / Congenital Cardiology

Discussion

Member takes

Implication

Patients after surgical pulmonary stenosis repair warrant lifelong surveillance for regurgitation and late re-intervention; extends sparse >30-year cohort data.

Key Points

To investigate long-term morbidity, mortality, and re-intervention rates in patients undergoing surgical correction for pulmonary stenosis between 1957 and 2000.
Longitudinal cohort study of 80 patients who underwent surgical repair for pulmonary stenosis at Aarhus University Hospital.
Tracked long-term survival, valve competence, ventricular remodeling, and re-interventions over a median follow-up of 33 years (maximum 57 years).
In-hospital mortality was 2.5% (2/80) and post-discharge mortality was 5% (4 patients), over a median follow-up of 33 years.
Re-interventions occurred in 20% of patients (16/80), with pulmonary valve replacement for regurgitation accounting for 67% of re-operations, primarily occurring >20 years after initial surgery.
At late follow-up, moderate or severe pulmonary regurgitation was present in 45%, right ventricular dilatation in 38%, and tricuspid regurgitation in 40% of patients.

Structured PICO

Population

n=80 patients with surgically treated pulmonary stenosis operated at Aarhus University Hospital between 1957 and 2000.

Intervention

Surgical correction of pulmonary stenosis

Outcome

Morbidity and mortalityhard clinical

Surgical relief of pulmonary stenosis is associated with a 20% re-intervention rate over long-term follow-up, primarily due to pulmonary regurgitation requiring valve replacement, highlighting the need for lifelong monitoring.

Cite This Study

Nielsen et al. (2015) studied this question.

synapsesocial.com/papers/6a72b6b06c240de38cdc7203 https://doi.org/10.1017/s1047951115001158

Topics

Congenital heart disease adults Tricuspid regurgitation

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Implication

Patients after surgical pulmonary stenosis repair warrant lifelong surveillance for regurgitation and late re-intervention; extends sparse >30-year cohort data.

Surgically treated pulmonary stenosis: over 50 years of follow-up

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Surgically treated pulmonary stenosis: over 50 years of follow-up

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

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