Ann Thorac Surg 2003;76:1071-1072
© 2003 The Society of Thoracic Surgeons
Invited commentary
Michel N. Ilbawi, MD
The Heart Institute for Children, Hope Childrens Hospital, 4440 West 95th Street, Oak Lawn, IL 60453, USA
e-mail: nancy@thic.com
| The first 20% of the full text of this article appears below. |
Interest in the hemodynamic effects of pulmonary regurgitation following tetralogy repair has evolved through the years. Early on, the prevailing concept was that regurgitation was benign, both early and late after surgery. Consequently, transannular patch to relieve right ventricular outflow obstruction was used liberally. Pulmonary regurgitation was accepted as a long term unimportant sequella of the repair. More recently, as a number of post repair patients are reaching adulthood, the deleterious effects of residual significant pulmonary regurgitation have become apparent. Excellent retrospective reviews such as reported by Warner and colleagues in this . . . [Full Text of this Article]
Copyright © 2003 by The Society of Thoracic Surgeons.