Inherent to TOF repair |
RV volume overload |
Partial or complete removal of pulmonary valve tissue |
Pulmonary regurgitation |
Infundibulotomy scar |
Tricuspid regurgitation |
Resection of RV/infundibular muscle bundles |
Left-to-right shunt |
Right atriotomy scar |
Ventricular septal defect |
VSD patch |
Atrial septal defect |
Residual or recurrent lesions |
Aorto-pulmonary collaterals |
RV outflow tract obstruction |
RV pressure overload |
Main or branch pulmonary artery stenosis |
RV outflow or pulmonary artery stenosis |
Ventricular septal defect |
Pulmonary vascular disease |
Atrial septal defect |
Pulmonary venous hypertension secondary to LV dysfunction |
Acquired lesions |
RV systolic dysfunction |
Tricuspid valve abnormalities |
RV diastolic dysfunction |
RV outflow tract aneurysm |
LV dysfunction |
RV fibrosis |
Ventricular conduction delay |
Associated anomalies |
Arrhythmias |
Dilated aorta |
Atrial flutter |
Associated congenital cardiovascular anomalies |
Atrial fibrillation |
Associated genetic and non-cardiac anomalies |
Ventricular tachycardia |
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Co-morbidities |
|
Renal, pulmonary, musculoskeletal, neurodevelopmental abnormalities |