Aortic or Pulmonary Valved Homograft Right Ventricle to Pulmonary Artery Conduit in the Norwood Procedure
| Autor: | Katsuhide Maeda, Teimour Nasirov, Olaf Reinhartz |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty medicine.medical_treatment Heart Ventricles Treatment outcome 030204 cardiovascular system & hematology Pulmonary Artery Norwood Procedures 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery medicine Humans Transplantation Homologous Retrospective Studies Pulmonary Valve business.industry Infant Newborn General Medicine Transplantation surgical procedures operative medicine.anatomical_structure Treatment Outcome 030228 respiratory system Ventricle Recien nacido Pediatrics Perinatology and Child Health Pulmonary artery Cardiology Surgery Norwood procedure Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | World journal for pediatriccongenital heart surgery. 10(4) |
| ISSN: | 2150-136X |
| Popis: | Background: Several modifications of the Norwood procedure utilizing valved right ventricle to pulmonary artery conduits have recently been reported. Our group has been using aortic or pulmonary valved homografts combined with PTFE tube grafts for now 16 years. Methods: In this report, we review our technique in detail and describe any changes that have occurred over the years. We provide detailed illustrations of our preferred surgical technique, report outcome data, and compare it to the other conduit options available. Results: Between 2006 and 2015, 130 stage I Norwood procedures were performed at our institution, 100 of them using valved conduits. Our technique is described and illustrated in detail. Early mortality was 15%. Postoperative percutaneous intervention on the conduit was required in 29% of cases. Conclusions: While a randomized trial comparing different valved conduits is lacking, we believe a composite conduit made from homograft aortic or pulmonary valves and PTFE tube grafts is an excellent choice in stage I Norwood procedure. |
| Databáze: | OpenAIRE |
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