دورية أكاديمية
أعرض في EDS

Differences in Right Heart Function After Pulmonary Valve Replacement in Patients With Pulmonary Valve Stenosis Versus Tetralogy of Fallot.

التفاصيل البيبلوغرافية
العنوان: Differences in Right Heart Function After Pulmonary Valve Replacement in Patients With Pulmonary Valve Stenosis Versus Tetralogy of Fallot.
المؤلفون: Egbe AC; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Jain CC; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Abozied O; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Burchill LJ; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Younis A; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Karnakoti S; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Ahmed MH; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA., Connolly HM; Department of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN USA.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2024 Jul 16; Vol. 13 (14), pp. e034833. Date of Electronic Publication: 2024 Jul 03.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Tetralogy of Fallot*/surgery , Tetralogy of Fallot*/physiopathology , Tetralogy of Fallot*/complications , Pulmonary Valve Stenosis*/surgery , Pulmonary Valve Stenosis*/physiopathology , Pulmonary Valve Stenosis*/complications , Heart Valve Prosthesis Implantation* , Ventricular Function, Right*/physiology , Pulmonary Valve*/surgery , Pulmonary Valve*/physiopathology , Ventricular Remodeling*, Humans ; Male ; Female ; Adult ; Pulmonary Valve Insufficiency/physiopathology ; Pulmonary Valve Insufficiency/surgery ; Pulmonary Valve Insufficiency/etiology ; Treatment Outcome ; Young Adult ; Time Factors ; Retrospective Studies ; Adolescent
مستخلص: Background: There are limited data about the impact of timing of pulmonary valve replacement (PVR) on right heart reverse remodeling in patients with pulmonary regurgitation following intervention for isolated pulmonary valve stenosis (PS). This study compared differences in postprocedural right heart reverse remodeling after early versus late PVR (defined as PVR before versus after attainment of the conservative consensus criteria proposed by Bokma et al, 2018) in patients with prior intervention for PS, using patients with tetralogy of Fallot as the reference group.
Method and Results: Right atrial reservoir strain and right ventricular free wall strain was measured at baseline, 1 and 3 years after PVR. There were 114 patients with PS (early PVR, 87 [76%]; late PVR, 27 [24%]) and 291 patients with tetralogy of Fallot (early PVR, 197 [67%]; late PVR, 96 [33%]). The PS group had greater improvement in right atrial reservoir strain at 1 year (12%±4% versus 8%±4%; P <0.001) and 3 years (15%±6% versus 9%±6%; P <0.001), and a greater improvement in right ventricular free wall strain at 1 year (12%±4% versus 7%±3%, P =0.008) and 3-years (16%±6% versus 12%±5%; P =0.01) after PVR compared with the tetralogy of Fallot group. There was no difference in right heart reverse remodeling between patients who underwent early versus later PVR within the PS group. In contrast, late PVR was associated with less right heart reverse remodeling within the tetralogy of Fallot group.
Conclusions: These data suggest that patients with palliated PS presenting pulmonary regurgitation have a more benign clinical course, and hence delaying PVR in this population may be appropriate.
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معلومات مُعتمدة: R01 HL162830 United States HL NHLBI NIH HHS
فهرسة مساهمة: Keywords: pulmonary valve replacement; right heart remodeling; risk stratification; strain imaging
تواريخ الأحداث: Date Created: 20240703 Date Completed: 20240716 Latest Revision: 20240803
رمز التحديث: 20240803
مُعرف محوري في PubMed: PMC11292774
DOI: 10.1161/JAHA.124.034833
PMID: 38958134
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.124.034833