Equine pericardium: a versatile alternative reconstructive material in congenital cardiac surgery.

Autor: Elassal AA; Department of Surgery, Cardiac Surgery Unit, King Abdulaziz University, Jeddah, Saudi Arabia. samalassal1434@gmail.com.; Cardiothoracic Surgery Department, Zagazig University, Zagazig, Egypt. samalassal1434@gmail.com., Al-Radi OO; Department of Surgery, Cardiac Surgery Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Zaher ZF; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia., Dohain AM; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt., Abdelmohsen GA; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Cairo University, Cairo, Egypt., Mohamed RS; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia., Fatani MA; Department of Surgery, Umm Al-Qura University, Makkah, Saudi Arabia., Abdelmotaleb ME; Pediatric Cardiac Intensive Care Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Noaman NA; Department of Anesthesia and Critical Care, King Abdulaziz University, Jeddah, Saudi Arabia., Elmeligy MA; Department of Surgery, Cardiac Surgery Unit, Cardiopulmonary Perfusion Unit, King Abdulaziz University, Jeddah, Saudi Arabia., Eldib OS; Cardiothoracic Surgery Department, Zagazig University, Zagazig, Egypt.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2021 Apr 23; Vol. 16 (1), pp. 110. Date of Electronic Publication: 2021 Apr 23.
DOI: 10.1186/s13019-021-01494-y
Abstrakt: Background: Pericardial patches are often used for repair of congenital cardiac defects. The aim of this study was to describe our initial experience with the use of equine pericardium and its safety and advantages and disadvantages compared to bovine pericardium.
Methods: We designed a retrospective cohort study of 111 patients who were surgically treated for congenital heart disease between 2017 and 2020. Equine pericardium was used in 58 patients and bovine pericardium was used in 53 patients. Recorded variables included demographic data, preoperative cardiac pathology, site of patch insertion, morbidity and mortality.
Results: The overall survival rate was 94.5% and no deaths were related to patch insertion. None of our patients were reoperated on for patch related complications. Postoperative transcatheter intervention was needed in 2 patients (1.8%): one for dilatation of aortic arch stenosis after repair of hypoplastic left heart syndrome with equine pericardium and one for dilatation of pulmonary artery branches after repair of tetralogy of Fallot using bovine pericardium.
Conclusions: Equine pericardium is a safe patch material for reconstruction in congenital heart surgery. It may be preferable to bovine pericardium in cases requiring a complex shape or a pliable patch as in in arch reconstruction or for valve reconstruction.
Databáze: MEDLINE
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