Downing Tacy E, Kim Yuli Y
Division of Cardiology, The Children's Hospital of Philadelphia, Suite 8NW90, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Division of Cardiovascular Medicine, The Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA; Philadelphia Adult Congenital Heart Center, The Children's Hospital of Philadelphia, Perelman Center for Advanced Medicine, Penn Medicine, 3400 Civic Center Boulevard, 2nd Floor East Pavilion, Philadelphia, PA 19104, USA.
Cardiol Clin. 2015 Nov;33(4):531-41, vii-viii. doi: 10.1016/j.ccl.2015.07.002. Epub 2015 Aug 29.
Repaired tetralogy of Fallot (TOF) is one of the most common diagnoses encountered when caring for adults with congenital heart disease. Although long-term survival after childhood TOF repair is excellent, morbidity is common and most patients require reintervention in adulthood. This review provides an overview of key surveillance and management issues for adults with TOF, including residual right ventricular outflow tract disease and timing of pulmonary valve replacement, arrhythmias and risk stratification, left-sided heart disease and heart failure, and pregnancy management.
法洛四联症（TOF）修复术后是成人先天性心脏病护理中最常见的诊断之一。尽管儿童期TOF修复术后长期生存率很高，但并发症很常见，大多数患者在成年期需要再次干预。本综述概述了TOF成人患者的关键监测和管理问题，包括残余右心室流出道疾病和肺动脉瓣置换时机、心律失常和风险分层、左心疾病和心力衰竭以及妊娠管理。
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