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Right ventricular restoration during pulmonary valve implantation in adults with congenital heart disease☆
Author(s) -
Alessandro Frigiola,
Alessandro Giamberti,
Massimo Chessa,
Marisa Di Donato,
Raúl Abella,
Sara Foresti,
C Carlucci,
Diaegura,
Mário Carminati,
Gerald D. Buckberg
Publication year - 2006
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2006.03.007
Subject(s) - medicine , cardiology , pulmonary valve , ventricular outflow tract , regurgitation (circulation) , pulmonary valve insufficiency , regurgitant fraction , ejection fraction , surgery , pulmonary regurgitation , heart disease , tetralogy of fallot , heart failure
Pulmonary regurgitation may cause progressive right ventricular dilatation and dysfunction in adult patients previously repaired for right ventricular outflow tract obstruction (RVOTO), and who require subsequent valve implantation for relief of these symptoms. Right ventricular recovery after pulmonary valve implantation (PVI) may be closely linked to the functional importance of the structural presence of an aneurysm or akinetic segment in the RVOT area. To test this concept, the impact of the right ventricular restoration with a new surgical ventriculoplasty technique is evaluated following pulmonary valve implantation in patients with severe pulmonary regurgitation and right ventricular dilatation.

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