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Ann Thorac Surg 1985;40:405-407
© 1985 The Society of Thoracic Surgeons

Articles

Use of Polytetrafluoroethylene (Gore-Tex) Grafts for the Construction of Right Ventricle-Pulmonary Artery Conduits

J. Ernesto Molina, M.D.

From the Department of Surgery, University of Minnesota Hospitals, 420 Delaware St, SE, Minneapolis, MN 55455

Accepted for publication January 30, 1985.


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Placement of a right ventricle-pulmonary artery conduit (18- or 20-mm grafts) made of Gore-Tex without a prosthetic valve was undertaken in 6 patients ranging in age from 8 1/2 to 32 years. Three patients had tetralogy of Fallot with pulmonary atresia, and the other 3 had transposition of the great vessels, ventricular septal defect, and pulmonary obstruction. Pulmonary pressure was low in all patients. The technique for implantation of this valveless, noncrimped type of prosthesis is described.


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  1. Rastelli GC, McGoon DC, Wallace RB. Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis J Thorac Cardiovasc Surg 1969;58:545.[Medline]
  2. McGoon DC, Rastelli GC, Ongley PA. An operation for correction of truncus arteriosus JAMA 1968;205:59.
  3. Agarwal KC, Edwards WD, Feldt RH, et al. Pathogenesis of nonobstructive fibrous peels in right-sided porcine-valved extracardiac conduits J Thorac Cardiovasc Surg 1982;83:584.[Abstract]
  4. Agarwal KC, Edwards WD, Feldt RH, et al. Severe fibrotic obstruction of Hancock conduit after Fontan operation J Thorac Cardiovasc Surg 1982;83:791.[Medline]
  5. Reitz BA, Jamieson SW, Baumgartner WA, Shumway NE. The durability of porcine xenograft valves and conduits in children Circulation 1982;66(Suppl 1):172.
  6. Saravali OA, Somerville J, Jefferson K. Calcification of aortic homografts used for reconstruction of the right ventricular outflow tract J Thorac Cardiovasc Surg 1980;80:909.[Abstract]
  7. Peetz DJ, Spicer RL, Crowley DC, et al. Correction of truncus arteriosus in the neonate using a nonvalved conduit J Thorac Cardiovasc Surg 1982;83:743.[Abstract]



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 J. Thorac. Cardiovasc. Surg.Home page
J. E. Molina, J. E. Edwards, R. W. Bianco, R. W. Clack, G. Lang, and J. R. Molina
COMPOSITE AND PLAIN TUBULAR SYNTHETIC GRAFT CONDUITS IN RIGHT VENTRICLE-PULMONARY ARTERY POSITION: FATE IN GROWING LAMBS
J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 427 - 435.
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