What specific long-term factor affecting lifespan post-repair is emphasized as requiring non-negotiable follow-up adherence?
Answer
Monitoring for gradual problems like developing pulmonary regurgitation.
Achieving long-term lifespan post-repair is heavily dependent on sustained, specialized monitoring. While the initial surgery repairs the acute structural defect, the heart structure remains altered and stressed. A key area for long-term attention is the repaired or replaced pulmonary valve, which can develop pulmonary regurgitation over time. Missing routine follow-up appointments, such as regular echocardiograms, prevents medical teams from detecting this gradual problem, allowing it to potentially escalate into an acute crisis requiring emergency intervention, thus jeopardizing the patient's maximized lifespan.

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