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Abstract #5431

Prognostic role of right ventricular late gadolinium enhancement in patients with Tetralogy of Fallot undergoing pulmonary valve replacement

Moreno Zanardo1, Caterina Beatrice Monti1, Davide Capra1, Emilia Giambersio1, Giulia Lastella2, Gianluca Guarnieri1, Gaetano Amato1, Francesco Secchi3, and Francesco Sardanelli4
1Università degli Studi di Milano, Milan, Italy, 2ASST Nord Milano, Milan, Italy, 3Università degli Studi di Milano - IRCCS Policlinico San Donato, Milano, Italy, 4Università degli Studi di Milano - IRCCS Policlinico San Donato, Milan, Italy

Synopsis

Our purpose was to evaluate the correlations between right ventricular (RV) late gadolinium enhancement (LGE) at cardiac magnetic resonance (CMR) in patients with Tetralogy of Fallot (ToF) scheduled for pulmonary valve replacement (PVR) and post-PVR functional data. After assessing a semiquantitative LGE scoring for the RV, we observed a correlation between such score and RV post-PVR outcomes appraised at CMR. The assessment of RV LGE before PVR may provide prognostic insights on post-PVR functional outcomes, potentially facilitating a patient-tailored treatment pathway.

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