Interposition of a modified aortic homograft conduit as main pulmonary trunk in anatomic correction of transposition of the great arteries
Autor: | Gian Piero Piccoli, David I. Hamilton |
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Rok vydání: | 1981 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.medical_treatment Surgery Transposition (music) Coronary arteries surgical procedures operative Bridge (graph theory) Electrical conduit medicine.anatomical_structure Great arteries medicine.artery Ascending aorta cardiovascular system medicine Pulmonary Trunk Cardiology and Cardiovascular Medicine business Jatene procedure |
Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 82:429-435 |
ISSN: | 0022-5223 |
DOI: | 10.1016/s0022-5223(19)39333-x |
Popis: | Anatomic correction of transposition of the great arteries and ventricular septal defect has been performed successfully in two patients. The technique employed differed in several aspects from the so-called Jatene procedure: (1) Both great arteries were transected at low level; (2) the switch of the coronary arteries was carried out after transection of both great arteries; (3) a modified aortic homograft conduit was used to bridge the gap between the proximal aortic root and the distal main pulmonary artery; (4) the “new” main pulmonary arterial trunk was positioned on the right side of the ascending aorta; and (5) the ascending aorta was enlarged in order to match the dilated proximal pulmonary stump. The advantages of these modifications over other techniques reported in the literature are discussed. |
Databáze: | OpenAIRE |
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