Cardiologia Croatica, Vol. 11 No. 1-2, 2016.
Ostalo
https://doi.org/10.15836/ccar2016.59
Repaired Tetralogy of Fallot in Adults – Case Report and a Short Literature Review.
Irena Ivanac Vranešić
orcid.org/0000-0002-6910-9720
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Maja Strozzi
; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Sažetak
Patients with repaired tetralogy of Fallot (ToF), due to the development of complications in adulthood, need to attend regular follow-up at a tertiary adult congenital heart disease (ACHD) center. If disease progression is stable, the follow-up visits are most often indicated on a yearly basis. In addi- tion to a detailed history of symptoms development, it is important to always look for possible compli- cations. In case of a signi cant pulmonary regurgitation (PR), which is the most frequent late compli- cation of repaired ToF, it needs to be quanti ed, and changes in right ventricular (RV) size and function need to be monitored. It is important not to postpone the re-intervention on the pulmonary valve (PV) for too long in order to preserve the RV function. It is also important to bear in mind the possible faster progression of prosthesis dysfunction if the operation was done at an earlier age. Since repaired ToF patients belong to the group of ACHD conditions with the highest risk of sudden cardiac death (SCD), it is necessary to stratify their risk by using currently available methods and to consider whether there are any indications for the implantation of a cardioverter de brillator. In addition to the above, during each follow-up it is necessary to search for all other possible complications in order to better and more comprehensively monitor and treat these patients.
Ključne riječi
tetralogy of Fallot; complications; pulmonary regurgitation; ventricular tachycardia; adult congenital heart disease
Hrčak ID:
153675
URI
Datum izdavanja:
23.2.2016.
Posjeta: 2.594 *