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Follow-up of Adult Tetralogy of Fallot

Long-term cardiac follow-up of adults after surgical repair of tetralogy of Fallot.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Follow-up of Adult Tetralogy of Fallot?

Tetralogy of Fallot (TOF) is a complex congenital heart disease comprising ventricular septal defect, right ventricular outflow tract obstruction, overriding aorta and right ventricular hypertrophy.

After surgical repair, pulmonary regurgitation, right ventricular dilation and dysfunction, ventricular arrhythmias and sudden cardiac death are the main follow-up issues in adulthood.

Cardiac MRI is used to assess right ventricular function and pulmonary valve status. Percutaneous pulmonary valve implantation (PPVI) or surgical valve replacement are important treatment options.

Symptoms

Exercise intolerance
Palpitations
Syncope
Dyspnea
Chest pain
Arrhythmia
Residual cyanosis

Risk Factors

Late age at repair
Severe pulmonary regurgitation
Right ventricular enlargement
Prolonged QRS (>180 ms)
Prior VT
Reduced ejection fraction
Presence of transannular patch

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New exertional dyspnea
  • Palpitations or syncope
  • Annual routine follow-up
  • Right ventricular dilation
  • QRS prolongation
  • Detection of arrhythmia

Treatment Methods

01
Pulmonary valve replacement (PPVI or surgery)
02
Antiarrhythmic therapy
03
ICD in high-risk patients
04
Heart failure therapy
05
Regular cardiac MRI
06
Exercise testing
07
Follow-up at a multidisciplinary adult congenital center

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.