scholarly journals Increasing age and atrial arrhythmias are associated with increased thromboembolic events in a young cohort of adults with repaired tetralogy of Fallot

2021 ◽  
Author(s):  
Clara Tsui ◽  
Darryl Wan ◽  
Jasmine Grewal ◽  
Marla Kiess ◽  
Amanda Barlow ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Young Cohort ◽  
Atrial Arrhythmias ◽  
Thromboembolic Events ◽  
Repaired Tetralogy Of Fallot

Persistent end-diastolic forward flow after pulmonary valve replacement in patients with repaired tetralogy of Fallot

2021 ◽  
Author(s):  
Yuji Tominaga ◽  
Masaki Taira ◽  
Takashi Kido ◽  
Tomomitsu Kanaya ◽  
Kanta Araki ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Valve Replacement ◽  
Pulmonary Valve ◽  
Pulmonary Valve Replacement ◽  
Right Atrial ◽  
Volume Index ◽  
Forward Flow ◽  
Repaired Tetralogy Of Fallot ◽  
Increased Risk ◽  
The Impact

Abstract OBJECTIVES The clinical significance of persistent end-diastolic forward flow (EDFF) after pulmonary valve replacement (PVR) remains unclear in patients with repaired tetralogy of Fallot. This study aimed to identify the characteristics of these patients and the impact of persistent EDFF on outcomes. METHODS Of 46 consecutive patients who underwent PVR for moderate to severe pulmonary regurgitation between 2003 and 2019, 23 (50%) did not show EDFF before PVR [group (−)]. In the remaining 23 patients with EDFF before PVR, EDFF was diminished after PVR in 13 (28%) [group (+, −)] and persisted in 10 (22%) [group (+, +)]. The following variables were compared between these 3 groups: (i) preoperative right ventricular (RV) and right atrial volumes measured by magnetic resonance imaging, haemodynamic parameters measured by cardiac catheterization and the degree of RV myocardial fibrosis measured by RV biopsy obtained at PVR and (ii) the post-PVR course, development of atrial arrhythmia and need for intervention. RESULTS A high RV end-diastolic pressure, a greater right atrial volume index and a greater RV end-systolic volume index before PVR and a high degree of RV fibrosis were significantly associated with persistent EDFF 1 year after PVR. Persistent EDFF was a significant risk factor for postoperative atrial tachyarrhythmia, and catheter ablation and pacemaker implantation were required more frequently in these patients. CONCLUSIONS Persistent EDFF after PVR could predict a worse prognosis, especially an increased risk of arrhythmia. Close follow-up is required in patients with persistent EDFF for early detection of arrhythmia and prompt reintervention if necessary. Clinical trial registration number Institutional review board of Osaka University Hospital, number 16105

A Case Series of the Anesthetic Management of Parturients With Surgically Repaired Tetralogy of Fallot

2012 ◽  
Vol 32 (3) ◽  
pp. 198
Author(s):  
K.W. Arendt ◽  
S.M. Fernandes ◽  
P. Khairy ◽  
C.A. Warnes ◽  
C.H. Rose ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Anesthetic Management ◽  
Case Series ◽  
Repaired Tetralogy Of Fallot
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