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Ann Thorac Surg 1990;50:479-481
© 1990 The Society of Thoracic Surgeons

Articles

Surgical repair of type II truncus arterious without a conduit

Baljit K. Sharma, MD, Michele Pilato, MD, David A. Ott, MD*

Department of Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA

Accepted for publication May 2, 1990.

* Address reprint requests to Dr Ott, Texas Heart Institute, PO Box 20345, Houston 77225.

A technique for reconstructing the right ventricular outflow tract in an infant with type II truncus arteriosus without using a prosthetic conduit is described. The truncal root is transected, and the confluence of branch pulmonary arteries is brought anterior to the aorta by using Lecompte's maneuver. The aorta is then reconstructed directiy with an end-to-end anastomosis. The right ventricular outflow tract is reconstructed by anastomosing the posterior wall of the confluence directly to the apex of the vertical right ventriculotomy. A glutaraldehyde-preserved pericardial patch is then placed anteriorly to complete reconstruction of the right ventricular outflow tract.




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