Liu Siyuan,Gui Zihao,Fan Xiangming,et al.Research progress on diagnosis and surgical treatment of long-term pulmonary valve regurgitation after tetralogy of fallot repair[J].Journal of Clinical Pediatric Surgery,,():789-795.[doi:10.3760/cma.j.cn101785-202312051-018]
Research progress on diagnosis and surgical treatment of long-term pulmonary valve regurgitation after tetralogy of fallot repair
- Keywords:
- Tetralogy of Fallot; Postoperative Complications; Pulmonary Valve Regurgitation; Diagnosis; Surgical Management
- Abstract:
- Tetralogy of Fallot is a common cyanotic congenital heart disease in children,often leading to symptoms such as cyanosis and hypoxic spell,squatting,heart murmurs,feeding difficulties in infants,and clubbing.Corrective surgery in infancy can alleviate the anatomical anomalies of tetralogy of Fallot. However,long-term postoperative complications may include pulmonary valve regurgitation,tricuspid valve regurgitation,residual right ventricular outflow tract obstruction,aortic root dilation,arrhythmias,and right heart failure.Due to the pathological characteristics of tetralogy of Fallot (pulmonary valve dysplasia/stenosis and the use of transannular patches),patients often coexist with postoperative pulmonary valve regurgitation and can survive asymptomatically for a long time.This review primarily summarizes the current understanding of the pathological mechanisms and treatment progress of pulmonary valve regurgitation after Tetralogy of Fallot repair.It discusses the clinical examination methods for grading the severity of pulmonary valve regurgitation,surgical indications and timing,and analyzes the advantages and disadvantages of surgical pulmonary valve replacement versus percutaneous pulmonary valve intervention,ultimately summarizing the better clinical treatment strategies to improve the quality of life for patients.
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Memo
收稿日期:2023-12-21。
通讯作者:施旭聪,Email:shixc@zju.edu.cn