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Michael S. Sweeney
William E. Walker
Denton A. Cooley
George J. Reul
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Ann Thorac Surg 1986;42:609-611
© 1986 The Society of Thoracic Surgeons

Articles

Apicoaortic Conduits for Complex Left Ventricular Outflow Obstruction: 10-Year Experience

Michael S. Sweeney, M.D., William E. Walker, M.D., Ph.D.*, Denton A. Cooley, M.D., George J. Reul, M.D.

From the Division of Thoracic Surgery, the Texas Heart Institute, and the Division of Thoracic and Cardiovascular Surgery, the University of Texas Medical School, Houston, TX

* Address reprint requests to Dr. Walker, 6431 Fannin, Suite 1.222, Houston, TX 77030

We interposed valved conduits between the left ventricular apex and aorta in 38 patients over a 10-year period. Indications included tunnel subaortic stenosis, aortic annular hypoplasia, tubular supravalvular aortic hypoplasia, and severe calcification of the ascending aorta. Operative mortality was 11%, but 78% of the survivors were alive at 5 years, and 70% had had no major complication. The results were better in adolescents and adults than in young children. Although complications included calcific degeneration of the valve and disruption of the conduit at the site of insertion into the ventricular apex, we continue to believe in the utility of this procedure in a few patients with complex left ventricular outflow tract obstruction.




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