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Ann Thorac Surg 1989;48:731-732
© 1989 The Society of Thoracic Surgeons

Articles

Construction of an aortic homograft conduit for right ventricle to pulmonary artery continuity

Anthony V. Hoots, MD, Donald C. Watson, Jr, MD*

The Department of Surgery, Le Bonheur Heart Center, and The University of Tennessee, Memphis, Tennessee USA

Accepted for publication July 19, 1989.

* Address reprint requests to Dr Watson, Le Bonheur Heart Center, 848 Adams Ave, Memphis, TN 38103.

Over the past decade the aortic homograft has become the extracardiac conduit of choice for repair of many congenital cardiac defects. Anastomosis of the homograft annulus to the right ventricle may distort the valve and render it incompetent. Prosthetic tube grafts have been used to bridge the right ventricle and distal homograft. We propose and have used successfully a method for establishing right ventricle to pulmonary artery continuity that is free of prosthetic materials, is technically simple, and places the homograft valve in the hilum, away from the distorting right ventricle free wall.




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 Ann. Thorac. Surg.Home page
M. A. Salim, T. G. Disessa, B. S. Alpert, K. L. Arheart, W. M. Novick, and D. C. Watson Jr
The fate of homograft conduits in children with congenital heart disease: an angiographic study
Ann. Thorac. Surg., January 1, 1995; 59(1): 67 - 73.
[Abstract] [PDF]


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