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Editorial comment

Hôpital Necker – Enfants Malades, Paris 75015, France

^_* Corresponding author. Tel.: +33 1 44381867; fax: +33 1 44381911. (Email: pascal.vouhe@nck.aphp.fr).

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The paper by Frigiola et al. is timely, dealing with a controversial issue [1]. An increasing number of patients, who have undergone right ventricular (RV) outflow tract repair for various malformations in infancy or childhood, need pulmonary valve implantation for severe pulmonary regurgitation when they reach adulthood. There is no doubt that pulmonary regurgitation, although well tolerated for a long time, does lead to increasing right ventricular volume, worsening exercise tolerance and ventricular arrhythmia. However, when and how should pulmonary valve implantation be performed remain a matter of debate. The paper by Frigiola et al. provides useful information regarding this issue and deserves several comments.

1. As stated by the authors themselves, this is not a comparative study between surgical and percutaneous pulmonary . . . [Full Text of this Article]