{"doi":"10.1016/j.amjcard.2014.06.023","title":"Long-Term Follow-Up After Pulmonary Valve Replacement in Repaired Tetralogy of Fallot","abstract":null,"journal":"The American Journal of Cardiology","year":2014,"id":689786,"datarank":0.6435689161722588,"base_score":4.290459441148391,"endowment":4.290459441148391,"self_citation_contribution":0.6435689161722588,"citation_network_contribution":0.0,"self_endowment_contribution":0.6435689161722588,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":72,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1195153,"name":"Benjamin W. Eidem","orcid":null,"position":1,"is_corresponding":false},{"id":681964,"name":"Heidi M. Connolly","orcid":"0000-0003-0666-0344","position":2,"is_corresponding":false},{"id":1100415,"name":"Crystal R. Bonnichsen","orcid":"0000-0002-0024-5804","position":3,"is_corresponding":false},{"id":645658,"name":"Jordan K. Rosedahl","orcid":null,"position":4,"is_corresponding":false},{"id":317437,"name":"Hartzell V. Schaff","orcid":"0000-0003-0994-027X","position":5,"is_corresponding":false},{"id":317438,"name":"Joseph A. Dearani","orcid":"0000-0002-2664-1290","position":6,"is_corresponding":false},{"id":720605,"name":"Harold M. Burkhart","orcid":"0000-0002-2766-0418","position":7,"is_corresponding":false},{"id":1802032,"name":"Anna Sabate Rotes","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Long-Term Follow-Up After Pulmonary Valve Replacement in Repaired Tetralogy of Fallot","abstract":"Surgical pulmonary valve replacement (PVR) in previously repaired tetralogy of Fallot (TOF) is frequently required. There are few data in large series of patients with long-term follow-up. Our aim was to review our 40-year experience with PVR after TOF repair and to evaluate prognostic factors for reintervention and death. Between 1973 and 2012, 278 patients with repaired TOF (53% men; 31.4 ± 16.4 years) underwent first PVR 24 ± 13 years after TOF repair. Three or more previous operations were performed in 17% of the patients, and 42% were in New York Heart Association (NYHA) class III/IV. PVR types included porcine (n = 211), pericardial (n = 37), homograft (n = 27), and mechanical (n = 3). Early mortality was 1.4%. Mean follow-up was 7.3 ± 6.8 years (maximum, 34 years). Overall survival at 5, 10, and 15 years was 93%, 83%, and 80% compared with 99%, 97%, and 95% in a gender- and age-matched US population, p <0.001. Independent risk factors for death were older age at complete repair (hazards ratio [HR] 1.2, p = 0.012), ≥ 3 previous cardiac operations (HR 1.9, p = 0.019), NYHA class III/IV at PVR (HR 2.7, p = 0.019), and large body surface area at PVR (HR 1.9, p <0.001). Reintervention after initial PVR occurred in 25 patients. Overall 5, 10, and 15 years freedom from pulmonary valve reintervention was 97%, 85%, and 75%, respectively. Multivariate analysis demonstrated older age at PVR to be protective from reintervention (HR 0.7, p <0.001). In conclusion, PVR is a safe operation with a low rate of reintervention in repaired TOF. The total number of cardiac operations, surgical timing, and the NYHA classification before PVR are important prognostic factors.","is_dataset_classified":null,"base_score":4.290459441148391,"endowment":4.290459441148391,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"25087464","pmcid":null,"openalex_id":"https://openalex.org/W2144396359","authors":[],"funders":[{"funder_name":"NCATS NIH HHS","grant_id":"UL1 TR000135","title":null}],"total_grants":1,"fwci":4.89,"citation_percentile":0.95649467,"influential_citations":0,"citation_trend":[{"year":2014,"count":1},{"year":2015,"count":5},{"year":2016,"count":3},{"year":2017,"count":15},{"year":2018,"count":6},{"year":2019,"count":12},{"year":2020,"count":11},{"year":2021,"count":5},{"year":2022,"count":3},{"year":2023,"count":3},{"year":2024,"count":2},{"year":2025,"count":4},{"year":2026,"count":2}],"oa_status":"closed","license":"https://www.elsevier.com/tdm/userlicense/1.0/","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S0002914914013708?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0002914914013708?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.amjcard.2014.06.023","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/25087464","host_type":"repository"}],"fields_of_study":["Congenital Heart Disease Studies","Cardiac Structural Anomalies and Repair","Cardiac Valve Diseases and Treatments","Adult","Cardiac Surgical Procedures","Child, Preschool","Echocardiography","Follow-Up Studies","Forecasting","Heart Valve Prosthesis Implantation","Humans","Infant","Male","Pulmonary Valve","Reoperation","Retrospective Studies","Tetralogy of Fallot"],"mesh_terms":["Adult","Child, Preschool","Echocardiography","Follow-Up Studies","Forecasting","Cardiac Surgical Procedures","Humans","Infant","Male","Pulmonary Valve","Reoperation","Retrospective Studies","Tetralogy of Fallot","Heart Valve Prosthesis Implantation"],"keywords":["Tetralogy of Fallot","Medicine","Cardiology","Internal medicine","Pulmonary valve","Surgery","Population","Heart disease"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-22T15:42:22.084760Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}