| Does pulmonary valve replacement post repair of tetralogy of Fallot improve right ventricular function? | |
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MedLine Citation:
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PMID: 19567499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether pulmonary valve replacement (PVR) after repair of tetralogy of Fallot improved outcomes including right ventricular (RV) function. Altogether 730 relevant papers were identified using the below mentioned search, 19 papers represented the best evidence to answer the question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses were tabulated. We conclude that PVR after tetralogy of Fallot repair has been shown to improve RV function and to offer symptomatic benefit. Several retrospective reviews report consistent reductions in RV end diastolic and systolic volumes and improvement in RV stroke volume, with one study also finding improvement in left ventricular stroke volume. PVR in this population appears to result in improved clinical outcome and can be performed with low mortality. |
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Authors:
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Louise Adamson; Hunaid A Vohra; Marcus P Haw |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-06-30 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 9 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-18 Completed Date: 2009-10-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 520-7 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Southampton General Hospital, Southampton, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Benchmarking Cardiac Surgical Procedures* Child Evidence-Based Medicine Female Heart Valve Prosthesis Implantation* Humans Male Middle Aged Pulmonary Valve / surgery* Stroke Volume Tetralogy of Fallot / physiopathology, surgery* Treatment Outcome Ventricular Dysfunction, Left Ventricular Function, Right* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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