The Role of Tricuspid Valve Surgery in the Late Management of Tetralogy of Fallot: Collective Review

Julie W. Cheng, Hyde Russell, Robert D. Stewart, Jamie Thomas, Carl L. Backer, Constantine Mavroudis

Research output: Contribution to journalReview article


While surgical repair of tetralogy of Fallot (TOF) is generally associated with good early outcomes, late complications affect long-term survival and may require reoperation. Pulmonary regurgitation (PR) and tricuspid regurgitation (TR) may increase the risk of arrhythmias, reduced cardiac function, and sudden death. Tricuspid valve function can be compromised secondarily in the setting of PR or directly as a result of injury or alteration of the valve related to the original TOF repair. This article reviews the etiologic mechanisms, pathophysiological implications, and surgical interventions for TR. Effective management following TOF repair requires consideration of TR to optimize late outcomes.

Original languageEnglish (US)
Pages (from-to)492-498
Number of pages7
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Issue number4
StatePublished - Jan 1 2012
Externally publishedYes



  • pulmonary regurgitation
  • reoperation for tetralogy of Fallot
  • tetralogy of Fallot
  • tricuspid annuloplasty
  • tricuspid regurgitation

ASJC Scopus subject areas

  • Medicine(all)

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