Circulation, Vol 78, 1150-1156, Copyright © 1988 by American Heart Association
SL Kopecky, BJ Gersh, MD McGoon, DD Mair, CJ Porter, DM Ilstrup, DC McGoon, JW Kirklin and GK Danielson
In a group of 191 consecutive patients who underwent operation at the Mayo
Clinic for isolated pulmonary valve stenosis between 1956 and 1967, late
results were excellent. In patients surviving operation before the age of
21 years, long-term survival was similar to that in an age- and sex-matched
control population. In the other patients, late survival and functional
status were good, but survival was poorer than in the control population.
This late attrition, most likely due to the sequelae of long-standing right
ventricular hypertrophy, suggests the need for continued surveillance. Late
sudden death occurred in only three patients, between 10 and 21 years
postoperatively. The finding of normal life expectancy for such patients
who survive operation before age 21 is important for actuarial purposes and
for the patients' career and employment plans.
ARTICLES
Long-term outcome of patients undergoing surgical repair of isolated pulmonary valve stenosis. Follow-up at 20-30 years
Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
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