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The Annals of Thoracic Surgery, Vol 44, 598-606, Copyright © 1987 by The Society of Thoracic Surgeons
JW Kirklin, EH Blackstone, T Maehara, AD Pacifico, JK Kirklin, S Pollock and RW Stewart
Actuarial freedom from reoperation for obstruction in 147 patients
receiving cryopreserved or fresh allograft valved conduits between a
ventricle and the pulmonary arteries was 94% at 3.5 years. The 2 patients
undergoing reoperation were 6 and 36 months of age at the time of insertion
of the allograft. Among 24 patients in whom cardiac catheterization was
performed on indication late postoperatively, 5 had gradients of more than
40 mm Hg across the conduit. For comparison, among 78 patients receiving
xenograft or irradiated allograft valved conduits, the percentages of
freedom from conduit reoperation at 3.5, 5, 10, and 15 years were 99%, 95%,
59%, and 11%, respectively. The diameters of the allograft and xenograft
valves inserted varied directly with the age and size of the patients, but
in patients 3 to 5 years of age, allografts with a diameter of at least 21
mm could usually be used.
ARTICLES
Intermediate-term fate of cryopreserved allograft and xenograft valved conduits
Department of Surgery, University of Alabama at Birmingham Medical Center.
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