ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Serafin Y. DeLeon
J. Michael Tuchek
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by DeLeon, S. Y.
Right arrow Articles by Fisher, E. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by DeLeon, S. Y.
Right arrow Articles by Fisher, E. A.
Related Collections
Right arrowRelated Article

Ann Thorac Surg 1996;61:234-237
© 1996 The Society of Thoracic Surgeons

Case Report

Early Pulmonary Homograft Failure From Dilatation Due to Distal Pulmonary Artery Stenosis

Serafin Y. DeLeon, MD, J. Michael Tuchek, MD, Timothy J. Bell, MD, Joanne Hofstra, MS, Dolores A. Vitullo, MD, Jose A. Quinones, MD, Elizabeth A. Fisher, MD

Departments of Thoracic and Cardiovascular Surgery and Pediatrics, Loyola University Medical Center, Maywood, Illinois

Accepted for publication July 10, 1995.

Early progressive pulmonary homograft insufficiency developed in an 11-month-old infant after repair of truncus arteriosus because of dilatation secondary to the presence of residual distal pulmonary artery stenosis and hypoplasia. Before repair, the pulmonary artery branches were discontinuous, with the right pulmonary artery being somewhat hypoplastic and originating from the trunk, and the left pulmonary artery supplied by a modified Blalock-Taussig shunt created in the newborn period. At repair, a pulmonary homograft was used to connect the branches. Progressive cardiomegaly and oxygen dependance occurred 3 weeks postoperatively. Cardiac catheterization showed systemic right ventricular pressure, severe homograft insufficiency, and residual distal pulmonary artery stenosis and hypoplasia. On reoperation at 3 months postoperatively, the homograft annulus diameter increased from 14 mm to 16 mm. Dilatation and insufficiency probably occurred because the right ventricle and homograft distal to the obstruction functioned as a unit during systole. The problem might have been minimized with the use of aortic homograft, which is thicker, or annular reinforcement with a synthetic material.


Related Article

Invited Commentary
Margaret D. Allen
Ann. Thorac. Surg. 1996 61: 236-237. [Extract] [Full Text]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
J. P.V. Zachariah, F. A. Pigula, J. E. Mayer Jr, and D. B. McElhinney
Right Ventricle to Pulmonary Artery Conduit Augmentation Compared With Replacement in Young Children
Ann. Thorac. Surg., August 1, 2009; 88(2): 574 - 580.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
S. Mohammadi, E. Belli, I. Martinovic, L. Houyel, A. Capderou, J. Petit, C. Planche, and A. Serraf
Surgery for right ventricle to pulmonary artery conduit obstruction: risk factors for further reoperation
Eur J Cardiothorac Surg, August 1, 2005; 28(2): 217 - 222.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. M. Forbess, A. S. Shah, J. D. St. Louis, J. J. Jaggers, and R. M. Ungerleider
Cryopreserved homografts in the pulmonary position: determinants of durability
Ann. Thorac. Surg., January 1, 2001; 71(1): 54 - 59.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
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]


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
Copyright © 1996 by The Society of Thoracic Surgeons.