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Published on: April 7, 2023
Tetralogy of Fallot: General Principles of Management
1Division of Cardiology, The Children's Hospital of Philadelphia, Suite 8NW90, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Abstract:
Repaired tetralogy of Fallot (TOF) is one of the most common diagnoses encountered when caring for adults with congenital heart disease. Although long-term survival after childhood TOF repair is excellent, morbidity is common and most patients require reintervention in adulthood. This review provides an overview of key surveillance and management issues for adults with TOF, including residual right ventricular outflow tract disease and timing of pulmonary valve replacement, arrhythmias and risk stratification, left-sided heart disease and heart failure, and pregnancy management.
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