Management of right ventricular outfl ow tract obstruction: Evolution to revolution

  • M. Gewillig Paediatric Cardiology, University Hospitals Leuven
  • S.C. Brown University of the Free State
DOI: https://doi.org/10.24170/11-1-1767

Abstract

Percutaneous pulmonary valves have opened up new avenues of treatment in patients requiring pulmonary valve replacement. The management of tetralogy of Fallot demonstrated the evolution of treatment: from palliative
care to modern day early complete surgical repair. Use of trans-annular patches to treat right ventricle outfl ow obstruction gave rise to signifi cant pulmonary regurgitation. Clinicians considered this a benign condition until,
three decades later patients started dying unexpectedly. Surgical pulmonary valve replacement was the only treatment, but these showed dysfunction after some years. Clear guidelines for intervention do not exist. Current guidelines recommend treatment at upper limits of tolerance. Arguments for earlier intervention are presented, but none of the guidelines have been scientifi
cally validated.
Published
2017-03-28
Issue
Vol. 11 No. 1 (2014): Summer
Section
Articles

Copyright (c) 2017 SA Heart Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This journal is an open access journal, and the authors and journal should be properly acknowledged, when works are cited.

Authors may use the publishers version for teaching purposes, in books, theses, dissertations, conferences and conference papers. 

A copy of the authors’ publishers version may also be hosted on the following websites:

  • Non-commercial personal homepage or blog.
  • Institutional webpage.
  • Authors Institutional Repository. 

The following notice should accompany such a posting on the website: “This is an electronic version of an article published in SAHJ, Volume XXX, number XXX, pages XXX–XXX”, DOI.  Authors should also supply a hyperlink to the original paper or indicate where the original paper (http://www.journals.ac.za/index.php/SAHJ) may be found. 

Authors publishers version, affiliated with the Stellenbosch University will be automatically deposited in the University’s’ Institutional Repository SUNScholar.

Articles as a whole, may not be re-published with another journal.

Copyright Holder: SA Heart Journal

The following license applies:

Attribution CC BY-NC-ND 4.0