Replacement of Obstructed Right Ventricle to Pulmonary Artery Conduits: The Modified Peel Operation

Autor: Jorge L Cervantes-Salazar, Iris P Flores-Sarria, Diego B Ortega-Zhindón, Juan Calderón-Colmenero, Antonio Benita-Bordes, Josue Martínez-Guerrero
Rok vydání: 2023
Předmět:
Zdroj: World Journal for Pediatric and Congenital Heart Surgery. 14:371-374
ISSN: 2150-136X
2150-1351
Popis: Reconstruction of the right outflow tract with extracardiac conduits has made complete repair of complex cardiac malformations possible. However, reoperation is usually required for a right ventricle-to-pulmonary artery conduit obstruction. We describe a modified peel operation, where the sides and posterior half of the previously placed conduit are preserved, and a prosthetic roof is placed over the conduit remnant. This has been our current technique to manage conduit obstructions. It is a safe operation and to teach residents. This review aims to convey the technical details of each step of this technique.
Databáze: OpenAIRE