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Ann Thorac Surg 2009;88:2022-2024. doi:10.1016/j.athoracsur.2009.04.145
© 2009 The Society of Thoracic Surgeons

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Isaac George
Matthew Bacchetta
Allan Stewart
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Case Reports

Stentless Bioprosthesis in a Valved Conduit: Implications for Pulmonary Reconstruction

Isaac George, MDa,*, Jinesh N. Shah, MDb, Matthew Bacchetta, MDa, Allan Stewart, MDa

a Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York
b Department of Radiation Oncology, Columbia University College of Physicians and Surgeons, New York, New York

Accepted for publication April 21, 2009.

* Address correspondence to Dr George, Division of Cardiothoracic Surgery, Milstein, 7GN-435, 177 Fort Washington Ave, New York, NY 10032 (Email: isaacgeorge{at}hotmail.com).

Pulmonic valve reconstruction is required for various congenital heart diseases and in concert with aortic valve autograft replacement (ie, the Ross procedure). Current techniques using homografts and autografts are often associated with significant morbidity and mortality, and are technically challenging. Furthermore, the long-term durability of these repairs has been questioned, leading to more frequent use of synthetic valved conduits. We report a case of pulmonary valve replacement and right ventricular outflow tract reconstruction using a stentless bioprosthetic aortic valve and polyester graft as a novel approach after radical pulmonary artery sarcoma resection.




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M. J. Russo, R. Easterwood, M. R. Williams, I. George, and A. S. Stewart
Aortic Root and Right Ventricular Outflow Tract Reconstruction Using Composite Biological Valved Conduits After Failed Ross Procedure
Ann. Thorac. Surg., June 1, 2011; 91(6): e87 - e89.
[Abstract] [Full Text] [PDF]




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