Survey of Reoperation Indications in Tetralogy of Fallot in Japan

Long-Term Efficacy of Implantable Cardioverter Defibrillator in Repaired Tetralogy of Fallot ― Role of Anti-tachycardia Pacing ―

“…20 In Japan, Mizuno et al showed that pulmonary stenosis and pulmonary regurgitation are the most common reasons for reoperation. 21 In the present study, surgical intervention was indicated at an appropriate time because all patients had regular follow-up with a cardiologist and a pediatric cardiologist with expertise in adult CHD. Thus, the all-cause mortality in the present study might be low.…”

Current Trends in Use of Implantable Cardioverter Defibrillators and Cardiac Resynchronization Therapy With a Pacemaker or Defibrillator in Japanese Pediatric Patients

“…Sudden cardiac death may occur a long time after congenital heart disease surgery, 8 and the efficacy of ICD in preventing such deaths has been reported. 9,10 Cuo et al reported that echocardiogram is very effective in determining whether CRT is indicated and in selecting the position of CRT in patients with a single ventricle.…”

Residual Problems With Repaired Tetralogy of Fallot

“…MRI was used to assess the timing of re-operation in only 60% of repaired TOF patients in a Japanese multicenter survey. 2 Compared with Western countries, the most common reason for re-operation in Japan is RVOT stenosis. Conotruncal repair with the application of small RV outflow patching has been used for the primary repair of TOF.…”

“…1, 2 The predominant residual lesions responsible for poor prognosis are pulmonary regurgitation and RVOT stenosis. 2 …”