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Background Timing of pulmonic valve replacement (PVR) following repaired Tetralogy of Fallot (rTOF) is determined by the severity of right ventricular (RV) dilation. While it is known that cardiovascular magnetic resonance (CMR) can more accurately quantify RV size than 2D-echocardiography (2DE), many centers have not fully integrated serial CMR assessment into the management of these patients, despite guideline recommendations. The aim of this study is to determine the extent to which visual assessment of RV size using 2DE would wrongly classify individuals that should be considered for PVR.

Can 2-dimensional echocardiography accurately classify patients with repaired tetralogy of Fallot in possible need of pulmonic valve replacement?