Commentary: The Many Shades of Gradient after Repair of Tetralogy of Fallot

We continue to refine the management of Tetralogy of Fallot (TOF) decades after initial surgical treatment was first described in the 1950s. The focus has shifted from relief of gradient and cyanosis to long-term health of the right ventricle. Pertinent to right ventricular health is afterload and preload conditions on the right ventricle and the duration of adverse loading condition. A expert consensus document produced by the American Association of thoracic surgery outlined patient selection and follow up after valve sparing repair.
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CONGENITAL – Commentary Source Type: research