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Ann Thorac Surg 1986;41:164-168
© 1986 The Society of Thoracic Surgeons

Articles

Experience with Polytetrafluoroethylene Grafts in Children with Cyanotic Congenital Heart Disease

J.C. Opie, M.D.*, L. Traverse, M.D., R.I. Hayden, M.D., C.Y. Ho, M.D., J. A.G. Culham, M.D., P.G. Ashmore, M.D.

Departments of Cardiovascular and Thoracic Surgery, Pediatrics, and Radiology, British Columbia Children's Hospital, Vancouver, BC, Canada

Accepted for publication March 29, 1985.

* Address reprint requests to Dr. Opie, Department of Cardiovascular and Thoracic Surgery, BC Children's Hospital, 4480 Oak St, Vancouver, BC, Canada V6H 3V4

Survival and event-free rates of 47 polytetrafluoroethylene (PTFE) (Gore-Tex) shunts for severe cyanotic congenital heart defects were studied in 42 children from April, 1981, to March, 1983.

Retrospective actuarial analysis was conducted over the 27 months of the study in 3-month intervals of the follow-up.

The estimated actuarial patient survival at two years was 86% with an estimated actuarial event-free rate of 57.2%. The grafts were found to be patent in 89% (42/47) of the grafts. Complications associated with PTFE grafts were thrombosis, infections, heart failure, shunt stenosis, and deformity of the pulmonary arteries.

Polytetrafluoroethylene grafts for systemic-pulmonary shunts offer good palliation, but the frequency of complications indicates that close follow-up is mandatory to avoid or treat serious sequelae of the complications.




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