Repaired tetralogy of Fallot in the adult.
The majority of persons living with tetralogy of Fallot are now adults and may face a number of long-term cardiac problems that necessitate reoperation. These problems include pulmonary regurgitation, tricuspid regurgitation, ventricular tachycardia, atrial flutter and/or fibrillation, pulmonary artery branch stenoses, right ventricular aneurysms, right ventricular outflow tract obstruction, residual ventricular septal defects, and coronary artery disease. Management approaches to these potential problems are discussed. Issues related to genetics, pregnancy, infective endocarditis, insurability, and employment are also reviewed with specific reference to the individual with repaired tetralogy of Fallot.
McRae
Marion E
ME
Toronto General Hospital, Toronto, Ontario, Canada. marion.mcrae@uhn.on.ca
D000328:Adult; D000359:Aftercare / Q000379:methods*; D000367:Age Factors; D001281:Atrial Fibrillation / Q000209:etiology; D001282:Atrial Flutter / Q000209:etiology; D003324:Coronary Artery Disease / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000209:etiology; D006322:Heart Aneurysm / Q000209:etiology; D006345:Heart Septal Defects, Ventricular / Q000209:etiology; D006352:Heart Ventricles; D006801:Humans; D024802:Nurse's Role; D010166:Palliative Care / Q000379:methods*; D010347:Patient Care Planning; D011183:Postoperative Complications / Q000209:etiology / Q000451:nursing; D011665:Pulmonary Valve Insufficiency / Q000209:etiology; D011666:Pulmonary Valve Stenosis / Q000209:etiology; D012086:Reoperation; D017741:Survivors; D017180:Tachycardia, Ventricular / Q000209:etiology; D013771:Tetralogy of Fallot / Q000601:surgery*; D013997:Time Factors; D014262:Tricuspid Valve Insufficiency / Q000209:etiology; D014694:Ventricular Outflow Obstruction / Q000209:etiology