How frequently is repair or replacement of the pulmonary valve required following surgical repair of tetralogy of Fallot (TOF) in infancy?

Updated: Nov 13, 2018
  • Author: Shabir Bhimji, MD, PhD; Chief Editor: Yasmine S Ali, MD, FACC, FACP, MSCI  more...
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Answer

Once tetralogy of Fallot has been repaired in infancy or childhood, about 5% of individuals require repair or replacement of the pulmonary valve. Because of better surgical results in the present era, long-term survivors are increasingly reported. In most of these individuals, pulmonary regurgitation is the clinical presentation and can be treated with a prosthetic tissue valve. [33]

Porcine valves are preferred over mechanical valves because they have lesser tendency to thrombose.


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