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Ann Thorac Surg 2001;71:505-506
© 2001 The Society of Thoracic Surgeons

Invited commentary

Douglas M. Behrendt, MDa

a Division of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, John Colloton Pavilion, Room 1602-A, 200 Hawkins Dr, Iowa City, IA 52242, USA

e-mail: douglas-behrendt@uiowa.edu

Techniques for reconstruction of the right ventricular outflow tract that will result in long-term freedom from reoperation remain an elusive goal for surgeons treating right ventricle-pulmonary artery discontinuity. Prosthetic conduits and allografts impose the subsequent certainty of reoperation, especially in growing infants, and there are occasional problems of finding space for them under the sternum in the mediastinum. This has led to a search for better ways to bridge the gap by utilizing autologous tissue. In . . . [Full Text of this Article]


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