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Background The fundamental abnormality of restrictive right ventricle (RV) physiology is reduced RV compliance as a result of chronic increase in pressure overload. In this study, we test the hypothesis that the persistence of Restrictive RV physiology after balloon pulmonary valvoplasty (BPV) is related to RV fibrosis assessed by Gadolinium-DTPA delayed-enhancement magnetic resonance imaging (de-MRI).

Restrictive right ventricular performance assessed by cardiac magnetic resonance after balloon valvoplasty of severe pulmonary stenosis in adolescents