HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Serafin Y. DeLeon Michel N. Ilbawi Hassan Rastegar Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by DeLeon, S. Y. Articles by Paul, M. H. Search for Related Content PubMed PubMed Citation Articles by DeLeon, S. Y. Articles by Paul, M. H.

Ann Thorac Surg 1982;34:586-589
© 1982 The Society of Thoracic Surgeons

---

Articles

Neointimal Obstruction of Carpentier-Edwards Valved Conduit in Two Patients with Modified Fontan Procedure

Divisions of Cardiovascular-Thoracic Surgery and Cardiology, The Children's Memorial Hospital, and the Department of Surgery, Northwestern University Medical School, Chicago, IL

Accepted for publication October 30, 1981.

^* Address reprint requests to Dr. DeLeon, Division of Cardiovascular-Thoracic Surgery, Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614.

In 2 patients (single ventricle and dextrotransposition of the great arteries with hypoplastic right ventricle) who underwent a modified Fontan procedure, significant disruption of the tricuspid patch developed. The valved conduits remained patent until reoperation at two and six months, respectively.

At the time of reclosure of the tricuspid patch, unavoidable manipulation of the conduits from dissection of adhesions led to detachment and collapse of the neointima, thereby producing complete obstruction of the conduit. The problem was detected immediately in the first patient and prompted clearance of the conduit of the collapsed neointima. In the second patient, the diagnosis was made six months later and conduit replacement was required. Both patients did well following reoperation.

We suggest that in patients with woven valved conduits inserted for a Fontan procedure who require reoperation and extensive manipulation of the conduit, removal of the neointima or conduit replacement should be considered.

This article has been cited by other articles:

				M. N. Kavarana, A. L. Dorfman, P. P. Agarwal, and E. L. Bove Acute Dissection of a Contegra Conduit: A Rare Mechanism of Failure Ann. Thorac. Surg., September 1, 2010; 90(3): 1006 - 1007. [Abstract] [Full Text] [PDF]

				K. B. Prenger, J. Hess, A. H. Cromme-Dijkhuis, and A. Eijgelaar Porcine-valved Dacron Conduits in Fontan Procedures Ann. Thorac. Surg., November 1, 1988; 46(5): 526 - 530. [Abstract] [PDF]

				F. P. Annechino, F. Brunelli, A. Borghi, P. Abbruzzese, M. Merlo, and L. Parenzan Fontan repair for tricuspid atresia: Experience with 50 consecutive patients Ann. Thorac. Surg., April 1, 1988; 45(4): 430 - 436. [Abstract] [PDF]

				S. Y. DeLeon, J. LoCicero III, M. N. Ilbawi, and F. S. Idriss Repeat Median Sternotomy in Pediatrics: Experience in 164 Consecutive Cases Ann. Thorac. Surg., February 1, 1986; 41(2): 184 - 188. [Abstract] [PDF]

				D. C. Cleveland, J. K. Kirklin, D. C. Naftel, J. W. Kirklin, E. H. Blackstone, A. D. Pacifico, and L. M. Bargeron Jr. Surgical Treatment of Tricuspid Atresia Ann. Thorac. Surg., November 1, 1984; 38(5): 447 - 457. [Abstract] [PDF]