PMID- 37335364 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230701 IS - 2090-911X (Electronic) IS - 1110-2608 (Print) IS - 1110-2608 (Linking) VI - 75 IP - 1 DP - 2023 Jun 19 TI - Impact of pulmonary valve replacement on left and right ventricular function using strain analysis, in children with repaired tetralogy of Fallot. PG - 51 LID - 10.1186/s43044-023-00379-w [doi] LID - 51 AB - BACKGROUND: In repaired Tetralogy of Fallot (rTOF), pulmonary regurgitation and resulting right ventricular (RV) and left ventricular (LV) dysfunction are associated with adverse clinical outcomes. We performed an echocardiographic assessment of LV and RV function using Global Longitudinal Strain (GLS) and conventional echo method prior to and following Pulmonary Valvular Replacement (PVR) to help inform proper timing of operation. RESULTS: A total of 30 rTOF patients (12.17 +/- 2.5 years, 70% male) were included. Regarding to LV function, the study revealed a significant reverse correlation between LV GLS (absolute value) and early (mean = 10.4 days) and late (mean = 7.4 months) postop LVEF. Paired T-Test showed significant difference between GLS of LV and RV before and late after operation (op), however, without significant changes early postop. Late postop significant improvements occurred in other conventional echo indices of LV and RV function as well. There was also a significant correlation between echo-measured LVEF & Fraction Area Change (RV FAC) and MRI-derived LVEF & RVEF, respectively. CONCLUSION: In this cross-sectional study in rTOF patients, RV and LV GLS as well as conventional echocardiographic indices regarding LV and RV function improved significantly after 6 months (mean = 7.4mo) following PVR. CI - (c) 2023. The Author(s). FAU - Moradian, Maryam AU - Moradian M AUID- ORCID: 0000-0002-6642-0281 AD - Department of Pediatric Cardiology, Rajaei Cardiovascular Research and Medical Center, School of Medicine, Iran University of Medical Sciences, Intersection of Niayesh Highway and Valiasr St, Tehran, 1995614331, Iran. FAU - Rashidighader, Fariba AU - Rashidighader F AUID- ORCID: 0000-0001-7813-5675 AD - Department of Pediatric Cardiology, Rajaei Cardiovascular Research and Medical Center, School of Medicine, Iran University of Medical Sciences, Intersection of Niayesh Highway and Valiasr St, Tehran, 1995614331, Iran. frashidig90@gmail.com. FAU - Golchinnaghash, Fatemeh AU - Golchinnaghash F AUID- ORCID: 0000-0002-2588-7555 AD - Department of Pediatric Cardiology, Rajaei Cardiovascular Research and Medical Center, School of Medicine, Iran University of Medical Sciences, Intersection of Niayesh Highway and Valiasr St, Tehran, 1995614331, Iran. FAU - Meraji, Mahmoud AU - Meraji M AD - Department of Pediatric Cardiology, Rajaei Cardiovascular Research and Medical Center, School of Medicine, Iran University of Medical Sciences, Intersection of Niayesh Highway and Valiasr St, Tehran, 1995614331, Iran. FAU - Ghaemi, Hamid Reza AU - Ghaemi HR AUID- ORCID: 0000-0003-2608-2457 AD - Department of Pediatric Cardiology, Rajaei Cardiovascular Research and Medical Center, School of Medicine, Iran University of Medical Sciences, Intersection of Niayesh Highway and Valiasr St, Tehran, 1995614331, Iran. LA - eng PT - Journal Article DEP - 20230619 PL - Germany TA - Egypt Heart J JT - The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology JID - 9106952 PMC - PMC10279607 OTO - NOTNLM OT - Echocardiography OT - Pulmonary valve incompetence OT - Tetralogy of Fallot COIS- All the authors declare that they surely have no any potential or perceived financial and non-financial competing interests. EDAT- 2023/06/19 13:08 MHDA- 2023/06/19 13:09 PMCR- 2023/06/19 CRDT- 2023/06/19 11:06 PHST- 2022/10/26 00:00 [received] PHST- 2023/06/10 00:00 [accepted] PHST- 2023/06/19 13:09 [medline] PHST- 2023/06/19 13:08 [pubmed] PHST- 2023/06/19 11:06 [entrez] PHST- 2023/06/19 00:00 [pmc-release] AID - 10.1186/s43044-023-00379-w [pii] AID - 379 [pii] AID - 10.1186/s43044-023-00379-w [doi] PST - epublish SO - Egypt Heart J. 2023 Jun 19;75(1):51. doi: 10.1186/s43044-023-00379-w.