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Ann Thorac Surg 1993;56:1171-1172
© 1993 The Society of Thoracic Surgeons

Articles

Stentless xenograft valve in a truncus arteriosus communis

Georg Kleikamp, MD*, Thomas Breymann, MD, Wolf-Rüdiger Thies, MD, Friedrich Gölnitz, MD, Winfried Dramburg, Wolfgang Matthies, MD, Hans Meyer, MD, Reiner Körfer, MD

Department of Thoracic and Cardiovascular Surgery, Department of Pediatric Cardiology, and Institute of Anaesthesiology, Heart Center of North Rhine-Westphalia, University Hospital, Ruhr-University Bochum, Bad Oeynhausen, Germany

Accepted for publication January 27, 1993.

* Address reprint requests to Dr Kleikamp, Klinik für Thorax- und Ka iovaskularchirurgie. Herzzentrum Nordrhein-Westfalen, Georgstr 11, D-4970 Bad Oeynhausen, Germany.

We report the use of a recently developed stentless porcine valve in a 2-year-old child with truncus arteriosus communis (type I). The child had received no previous surgical palliation. Despite a markedly increased pulmonary arteriolar resistance the right ventricle was connected to the pulmonary artery with a homograft. The postoperative course was complicated at first by right ventricular failure due to pulmonary hypertension and secondarily by left ventricular failure caused by rapidly increasing truncal valve incompetence. Because we did not have a suitable homograft at hand we replaced the truncal valve with a stentless porcine xenograft valve.




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S. Dittrich, V. V. Alexi-Meskishvili, A. C. Yankah, I. Dahnert, R. Meyer, R. Hetzer, and P. E. Lange
Comparison of porcine xenografts and homografts for pulmonary valve replacement in children
Ann. Thorac. Surg., September 1, 2000; 70(3): 717 - 722.
[Abstract] [Full Text] [PDF]


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