The Annals of Thoracic Surgery, Vol 23, 539-544, Copyright © 1977 by The Society of Thoracic Surgeons
Gore-Tex grafts for replacement of the superior vena cava
WH Heydorn, R Zajtchuk, J Miller and GF Schuchmann
In an effort to evaluate polytetrafluoroethylene (Gore-Tex) as a
replacement for large veins, tubular grafts of the material were
substituted for the precava in 33 mongrel dogs weighing 15 to 30 kg.
Thirteen dogs had grafts 10 cm long by 12 mm wide with a 15-to 30 micron
pore size; 15 dogs had grafts of the same length and width from 90-micron
pore size material; and 5 dogs had grafts 5 cm long by 12 mm wide, of
90-micron pore size Gore-Tex. The effect of Gore-Tex tubes with and without
spiral support and the differences in anatomical positions of the grafts
were evaluated in terms of patency. Dogs were killed if a venogram showed
occlusion of the graft. Twelve dogs survived 90 days; the longest survivor
was killed at eleven months. At postmortem examination, the graft was
patent but extremely narrow at the atrial end. Modification in the
fabrication of Gore-Tex may eliminate factors contributing to graft
failure; experiments longer than 90 days are necessary to evaluate Gore-Tex
as a large vein replacement material. The 90-micron pore size material used
in this experiment was unsuitable as a canine venous substitute.
