[Pulmonary revalvulation and rhythmologenic risks in patients with repaired tetralogy of Fallot]. / Revalvulation pulmonaire et risque rythmique chez les patients opérés d'une tétralogie de Fallot.
Presse Med
; 46(6 Pt 1): 586-593, 2017 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-28583744
ABSTRACT
Tetralogy of Fallot is a frequent congenital heart disease that has been repaired since the mid-1950s. The follow-up after repair is good despite a persistent risk of sudden death. The risk factors in long-term follow-up are advanced age at repair, hemodynamic status of the right ventricle, QRS duration≥180ms, left ventricular dysfunction, and existence of sustained or not ventricular tachycardia. In the presence of significant pulmonary regurgitation, it is necessary to perform revalvulation either by classic surgery or cardiac catheterization. To correct the risk of ventricular arrhythmia, some have proposed radiofrequency ablation of critical isthmus, or cryo-application during surgery. However, the use of implantable cardioverter defibrillator is another therapeutic option that is more and more employed as secondary or primary prevention in patients at risk of sudden death.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
Problema de saúde:
2_muertes_prematuras_enfermedades_notrasmisibles
/
6_cardiovascular_diseases
/
6_congenital_chromosomal_anomalies
/
6_other_circulatory_diseases
Assunto principal:
Complicações Pós-Operatórias
/
Tetralogia de Fallot
/
Morte Súbita Cardíaca
/
Taquicardia Ventricular
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Fr
Revista:
Presse Med
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
França