{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T16:27:41Z","timestamp":1779294461831,"version":"3.51.4"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:00:00Z","timestamp":1588550400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120000955_as1\"><jats:title>Background:<\/jats:title><jats:p>A certain degree of pulmonary stenosis after total correction of tetralogy of Fallot has been considered acceptable. But the long-term outcomes are not well understood. We observed the natural course of immediate pulmonary stenosis and investigated related factors for progression.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120000955_as2\"><jats:title>Methods:<\/jats:title><jats:p>Fifty-two patients with acceptable pulmonary stenosis immediately after operation were enrolled. Acceptable pulmonary stenosis was defined as peak pressure gradient between 15 and 45 mmHg by Doppler echocardiography. Latent class linear mixed model was used to differentiate patients with progressed pulmonary stenosis, and the factors related to progression were analysed.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120000955_as3\"><jats:title>Results:<\/jats:title><jats:p>Pulmonary stenosis progressed in 14 patients (27%). Between the progression group and no progression group, there were no significant differences in operative age, sex, and the use of the transannular patch technique. However, immediate gradient was higher in the progression group (32.1 mmHg versus 25.7 mmHg, p = 0.009), and the cut-off value was 26.8 mmHg (sensitivity = 65.3%, specificity = 65.8%). Main stenosis at the sub-valve was observed more frequently in the progression group (85.7% versus 52.6%, p = 0.027). Despite no difference in the preoperative pulmonary valve z value, the last follow-up pulmonary valve z value was significantly lower in the progression group (\u22121.15 versus 0.35, p = 0.002).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120000955_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Pulmonary stenosis immediately after tetralogy of Fallot total correction might progress in patients with immediate pulmonary stenosis higher than \u226526.8 mmHg and the main site was sub-valve area.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120000955","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T09:42:04Z","timestamp":1588585324000},"page":"774-778","source":"Crossref","is-referenced-by-count":5,"title":["The progression of an acceptable pulmonary stenosis immediately after total correction of tetralogy of Fallot"],"prefix":"10.1017","volume":"30","author":[{"given":"Yi-Seul","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9660-5949","authenticated-orcid":false,"given":"Jinyoung","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"June","family":"Huh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I-Seok","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji-Hyuk","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae-Gook","family":"Jun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,5,4]]},"reference":[{"key":"S1047951120000955_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960271118"},{"key":"S1047951120000955_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.01.016"},{"key":"S1047951120000955_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200010000-00006"},{"key":"S1047951120000955_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.04.016"},{"key":"S1047951120000955_ref6","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-13-0673"},{"key":"S1047951120000955_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.06.065"},{"key":"S1047951120000955_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90167-5"},{"key":"S1047951120000955_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.06.008"},{"key":"S1047951120000955_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.08.001"},{"key":"S1047951120000955_ref12","first-page":"378","article-title":"Mild pulmonary valve stenosis: the possible spontaneous cure in the natural history of the defect","volume":"86","author":"Atik","year":"2006","journal-title":"Arq Bras Cardiol"},{"key":"S1047951120000955_ref5","doi-asserted-by":"crossref","first-page":"III116","DOI":"10.1161\/circ.102.suppl_3.III-116","article-title":"Tetralogy of Fallot: transannular and right ventricular patching equally affect late functional status","volume":"102","author":"d\u2019Udekem","year":"2000","journal-title":"Circulation"},{"key":"S1047951120000955_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00318-5"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951120000955","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,22]],"date-time":"2022-10-22T22:06:26Z","timestamp":1666476386000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951120000955\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,4]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["S1047951120000955"],"URL":"https:\/\/doi.org\/10.1017\/s1047951120000955","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,4]]}}}