Patients with CCTGA are increasingly subject to CHF with advancing age; this complication is extremely common by the fourth and fifth decades. Tricuspid (systemic atrioventricular) valvular regurgitation is strongly associated with RV (anatomical right ventricle connected to aorta in CCTGA patients; systemic ventricle in CCTGA) dysfunction and CHF; whether it is causative or a secondary complication remains speculative.
Patient selection strategies to optimize radiofrequency ablation outcomes in children, which have been based on the previously published Registry data, should be reconsidered in light of these new, updated data. The lack of uniform improvement provides the impetus for further research and development of new approaches and technologic advances so that further improvement can be achieved.
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