Temporal changes in the surgical management of patients with tetralogy of Fallot in Denmark: a nationwide cohort study.
Mathis GröningMorten Holdgaard SmerupDorte Guldbrand NielsenHenrik NissenKim MunkUlrik Markus MortensenHelle AndersenMorten EngholmJesper BjerreNiels G VejlstrupKlaus JuulEva Vad SøndergaardAnnette Schophuus JensenTroels Højsgaard JørgensenHans Gustav Hørsted ThyregodHenrik Ørbæk AndersenChristian JønsMorten HelvindLars SondergaardPublished in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2023)
There was a temporal trend towards less shunt palliation and intracardiac repair at a younger age with more use of transannular patches. While survival throughout childhood and adolescence has improved, more patients undergo pulmonary valve replacement during the first 10 years after intracardiac repair.