| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 52, 285-290, Copyright © 1991 by The Society of Thoracic Surgeons
S Sano, TR Karl and RB Mee
Extracardiac valved conduits represent one of the weakest facets of
reconstructive surgery for congenital heart disease in that they invariably
need to be replaced because of growth of the patient or because of valve or
conduit failure. Between 1979 and 1989, 141 patients had 169 valved
conduits placed between the heart and the pulmonary artery circuit. There
were 81 male and 60 female patients, aged 2 days to 35 years (mean age, 5.9
years), with 46 patients less than 1 year of age. We performed primary
repair in 117 patients; in this group, there have been 28 conduit
replacements in 27 patients. In 17 patients initial repair with a conduit
was performed elsewhere and we replaced these conduits in 15 and removed
them in 2. A further group of 9 patients were seen after repair of
tetralogy of Fallot or double- outlet right ventricle, with severe
pulmonary incompetence or right ventricular outflow tract aneurysm. All had
valved conduits inserted as secondary procedures. The types of valved
conduits used were xenograft (n = 126) and homograft (n = 43). There were
six hospital deaths (3.6%; 70% confidence limits [CL], 2% to 6%) and seven
late deaths (4.1%; CL, 2.5% to 6.5%) in a total of 169 conduit insertions.
Forty-five conduits have been removed and 43 reinserted without early or
late mortality (0%; CL, 0% to 4%). Actuarial survival after conduit
insertion was 87% at 5 years (CL, 80% to 92%), including operative
mortality. Actuarial freedom from conduit replacement was 37% at 5 years
(CL, 20% to 56%). Conduit insertion in infants and small children ensures
subsequent replacement, but this can be done at low risk.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
Extracardiac valved conduits in the pulmonary circuit
Victorian Paediatric Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.
This article has been cited by other articles:
|
|
 |
|
  I.-S. Chiu, M. Div, S.-C. Huang, S.-J. Wu, M.-L. Lee, E.-T. Wu, S.-J. Chen, and M.-R. Chen Surgical Treatment of Anomalies With Discontinuity Between the Right Ventricle and the Pulmonary Arteries Without Use of an Extracardiac Conduit Ann. Thorac. Surg., April 1, 2009; 87(4): 1220 - 1226. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Troost, B. Meyns, W. Daenen, F. Van de Werf, M. Gewillig, K. Van Deyk, P. Moons, and W. Budts Homograft survival after tetralogy of Fallot repair: determinants of accelerated homograft degeneration Eur. Heart J., October 2, 2007; 28(20): 2503 - 2509. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Anagnostopoulos, A. Azakie, S. Natarajan, N. Alphonso, M. M. Brook, and T. R. Karl Pulmonary valve cusp augmentation with autologous pericardium may improve early outcome for tetralogy of Fallot J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 640 - 647. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, I. Hagino, T. Ishizaka, and S. Kitamura Long-term outcome of right ventricular outflow tract reconstruction using a handmade tri-leaflet conduit Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 807 - 814. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, and S. Kitamura Functional biventricular repair using left ventricle-pulmonary artery conduit in patients with discordant atrioventricular connections and pulmonary outflow tract obstruction--does conduit obstruction maintain tricuspid valve function? Eur. J. Cardiothorac. Surg., October 1, 2004; 26(4): 767 - 772. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Isomatsu, T. Shin'oka, M. Aoki, M. Terada, T. Takeuchi, S. Hoshino, Y. Takanashi, Y. Imai, and H. Kurosawa Establishing right ventricle-pulmonary artery continuity by autologous tissue: an alternative approach for prosthetic conduit repair Ann. Thorac. Surg., July 1, 2004; 78(1): 173 - 180. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Kanter, D. A. Fyfe, W. T. Mahle, J. M. Forbess, and P. M. Kirshbom Results with the freestyle porcine aortic root for right ventricular outflow tract reconstruction in children Ann. Thorac. Surg., December 1, 2003; 76(6): 1889 - 1895. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ishizaka, R. G. Ohye, C. S. Goldberg, S. R. Ramsburg, T. Suzuki, E. J. Devaney, and E. L. Bove Premature failure of small-sized Shelhigh No-React porcine pulmonic valve conduit model NR-4000 Eur. J. Cardiothorac. Surg., May 1, 2003; 23(5): 715 - 718. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Erek, Y. K. Yalcinbas, E. Salihoglu, N. Ozturk, S. Arat, A. Sarioglu, U. B. Samanli, and T. Sarioglu Fate of Stentless Bioprostheses on Right Side of the Heart Asian Cardiovasc Thorac Ann, March 1, 2003; 11(1): 58 - 62. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Dearani, G. K. Danielson, F. J. Puga, H. V. Schaff, C. W. Warnes, D. J. Driscoll, C. D. Schleck, and D. M. Ilstrup Late follow-up of 1095 patients undergoing operation for complex congenital heart disease utilizing pulmonary ventricle to pulmonary artery conduits Ann. Thorac. Surg., February 1, 2003; 75(2): 399 - 411. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. J. Wells, H. Arroyo Jr, R. M. Bremner, J. Wood, and V. A. Starnes Homograft conduit failure in infants is not due to somatic outgrowth J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 88 - 96. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. J. Kim, Y. S. Choi, J. R. Lee, and J. R. Rho Ventricular Outflow Tract Reconstruction With Polystan Valved Conduit Asian Cardiovasc Thorac Ann, September 1, 2001; 9(3): 187 - 191. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Lange, J. Weipert, M. Homann, N. Mendler, S.-U. Paek, K. Holper, and H. Meisner Performance of allografts and xenografts for right ventricular outflow tract reconstruction Ann. Thorac. Surg., May 1, 2001; 71 (2007): S365 - S367. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Marianeschi, G. M. Iacona, F. Seddio, R. F. Abella, C. Condoluci, A. Cipriani, F. S. Iorio, S. Gabbay, and C. F. Marcelletti Shelhigh No-React porcine pulmonic valve conduit: a new alternative to the homograft Ann. Thorac. Surg., February 1, 2001; 71(2): 619 - 623. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Caldarone, B. W. McCrindle, G. S. Van Arsdell, J. G. Coles, G. Webb, R. M. Freedom, and W. G. Williams Independent factors associated with longevity of prosthetic pulmonary valves and valved conduits J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1022 - 1031. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Homann, J. C. Haehnel, N. Mendler, S. U. Paek, K. Holper, H. Meisner, and R. Lange Reconstruction of the RVOT with valved biological conduits: 25 years experience with allografts and xenografts Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 624 - 630. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. O. Fulton, C. Mas, C. P.R. Brizard, A. D. Cochrane, and T. R. Karl Does left ventricular outflow tract obstruction influence outcome of interrupted aortic arch repair? Ann. Thorac. Surg., January 1, 1999; 67(1): 177 - 181. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Niwaya, C. J. Knott-Craig, M. M. Lane, K. Chandrasekaren, E. D. Overholt, and R. C. Elkins CRYOPRESERVED HOMOGRAFT VALVES IN THE PULMONARY POSITION: RISK ANALYSIS FOR INTERMEDIATE-TERM FAILURE J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 141 - 147. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Robin, S. Martinot, A. Curtil, C. Vedrinne, F. Tronc, M. Franck, and G. Champsaur Experimental right ventricle to pulmonary artery discontinuity: Outcome of polyurethane valved conduits J. Thorac. Cardiovasc. Surg., April 1, 1998; 115(4): 898 - 903. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Stark, C. Bull, M. Stajevic, M. Jothi, M. Elliott, and M. d. Leval Fate Of Subpulmonary Homograft Conduits: Determinants Of Latehomograft Failure J. Thorac. Cardiovasc. Surg., March 1, 1998; 115(3): 506 - 516. [Abstract] [Full Text]
|
|
|
|
|
|
M. Ando, Y. Imai, Y. Takanashi, S. Hoshino, K. Seo, and M. Terada Fate of Trileaflet Equine Pericardial Extracardiac Conduit Used for the Correction of Anomalies Having Pulmonic Ventricle-Pulmonary Arterial Discontinuity Ann. Thorac. Surg., July 1, 1997; 64(1): 154 - 158. [Abstract] [Full Text]
|
|
|
|
|
|
D. Mishaly, E. Birk, A. Elami, and B. A. Vidne Autologous Monocusp Pulmonary Valve: Preliminary Results Ann. Thorac. Surg., June 1, 1996; 61(6): 1811 - 1815. [Abstract] [Full Text]
|
|
|
|
|
|
M. Ando, Y. Imai, S. Hoshino, and K. Ishihara Autologous Reconstruction of Pulmonary Trunk at Reoperation After Extracardiac Conduit Repair Ann. Thorac. Surg., March 1, 1995; 59(3): 621 - 625. [Abstract] [Full Text]
|
|
|
|
|
|
K. Bando, G. K. Danielson, H. V. Schaff, D. D. Mair, P. R. Julsrud, and F. J. Puga Outcome of pulmonary and aortic homografts for right ventricular outflow tract reconstruction J. Thorac. Cardiovasc. Surg., March 1, 1995; 109(3): 509 - 518. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
