Pulmonary Valve Replacement for Pulmonary Regurgitation in Adults With Tetralogy of Fallot: A Meta-analysis—A Report for the Writing Committee of the 2019 Update of the Canadian Cardiovascular Society Guidelines for the Management of Adults With Congenital Heart Disease

2019 ◽  
Vol 35 (12) ◽  
pp. 1772-1783 ◽  
Author(s):  
François-Pierre Mongeon ◽  
Walid Ben Ali ◽  
Paul Khairy ◽  
Ismail Bouhout ◽  
Judith Therrien ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Tetralogy Of Fallot ◽  
Valve Replacement ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Meta Analysis ◽  
Pulmonary Regurgitation ◽  
Pulmonary Valve Replacement ◽  
Canadian Cardiovascular Society

scholarly journals Tricuspid Valve Intervention at the Time of Pulmonary Valve Replacement in Adults With Congenital Heart Disease: A Systematic Review and Meta‐Analysis

2021 ◽  
Author(s):  
Jef Van den Eynde ◽  
Connor P. Callahan ◽  
Mauro Lo Rito ◽  
Nabil Hussein ◽  
Horacio Carvajal ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Right Ventricular ◽  
Valve Replacement ◽  
Tricuspid Valve ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Meta Analysis ◽  
Pulmonary Valve Replacement ◽  
Valve Surgery

Background Tricuspid regurgitation (TR) is a common finding in adults with congenital heart disease referred for pulmonary valve replacement (PVR). However, indications for combined valve surgery remain controversial. This study aimed to evaluate early results of concomitant tricuspid valve intervention (TVI) at the time of PVR. Methods and Results Observational studies comparing TVI+PVR and isolated PVR were identified by a systematic search of published research. Random‐effects meta‐analysis was performed, comparing outcomes between the 2 groups. Six studies involving 749 patients (TVI+PVR, 278 patients; PVR, 471 patients) met the eligibility criteria. In the pooled analysis, both TVI+PVR and PVR reduced TR grade, pulmonary regurgitation grade, right ventricular end‐diastolic volume, and right ventricular end‐systolic volumes. TVI+PVR, but not PVR, was associated with a decrease in tricuspid valve annulus size (mean difference, −6.43 mm, 95% CI, −10.59 to −2.27; P =0.010). Furthermore, TVI+PVR was associated with a larger reduction in TR grade compared with PVR (mean difference, −0.40; 95% CI, −0.75 to −0.05; P =0.031). No evidence could be established for an effect of either treatment on right ventricular ejection fraction or echocardiographic assessment of right ventricular dilatation and dysfunction. There was no evidence for a difference in hospital mortality or reoperation for TR. Conclusions While both strategies are effective in reducing TR and right ventricular volumes, routine TVI+PVR can reduce TR grade to a larger extent than isolated PVR. Further studies are needed to identify the subgroups of patients who might benefit most from combined valve surgery.

scholarly journals Outcome and performance of bioprosthetic pulmonary valve replacement in patients with congenital heart disease

2016 ◽  
Vol 152 (5) ◽  
pp. 1333-1342.e3 ◽  
Author(s):  
Rio Nomoto ◽  
Lynn A. Sleeper ◽  
Michele J. Borisuk ◽  
Lisa Bergerson ◽  
Frank A. Pigula ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Valve Replacement ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Pulmonary Valve Replacement ◽  
And Performance

Results of Pulmonary Valve Replacement with a Newly Introduced Bioprosthesis in Children and Young Adults with Congenital Heart Disease

2021 ◽  
pp. 1-4
Author(s):  
Jose M. Arribas-Leal ◽  
Maria Garcia-Vieites ◽  
Antonio Jimenez-Aceituna ◽  
Sergio Canovas-Lopez ◽  
Francisco Gutierrez ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Young Adults ◽  
Heart Disease ◽  
Valve Replacement ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Pulmonary Valve Replacement ◽  
Children And Young Adults
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