PMID: 6540551Aug 1, 1984Paper

Apicoaortic valved conduits for complex left ventricular outflow obstruction: technical considerations and current status

The Annals of Thoracic Surgery
J W BrownM M Kirsh

Abstract

The surgical considerations, clinical follow-up, and hemodynamic data for 23 patients (age range, 4 months to 80 years) who underwent insertion of a porcinevalved apicoaortic conduit between December, 1976, and June, 1983, are reviewed. All patients had complex forms of left ventricular outflow obstruction. All were symptomatic, and 18 had had 23 prior attempts at surgical relief of the obstruction. There was a total of 6 deaths (26%); 2 were in small children with other complex cardiac malformations, and 2 others in patients who required emergency operation for acute cardiac decompensation. Sixteen patients have had cardiac catheterization 1 to 1.5 years postoperatively, and a reduction in the resting left ventricular-aortic gradient from 91 +/- 30 to 13 +/- 8 mm Hg was demonstrated (p less than 0.001). None of the patients is taking anticoagulants, and no thromboembolic events have occurred. Four of the 17 survivors have undergone a subsequent operation 1.5 to 4.0 years postoperatively with conduit removal, aortoventriculoplasty, and conduit valve replacement in 1, 1, and 2 patients, respectively. These data demonstrate that the apicoaortic conduit is effective in relieving complex left ventricular outflow obstruction and imp...Continue Reading

References

Oct 1, 1981·The Annals of Thoracic Surgery·J M Dunn

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Citations

Apr 1, 1988·The Annals of Thoracic Surgery·J W BrownD A Girod
Oct 7, 2015·Journal of Cardiac Surgery·Walid K Abu SalehBasel Ramlawi
Jul 5, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Patrick OdonkorAlina M Grigore
Apr 13, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Brian WhangRamachandra C Reddy
Jan 28, 2010·The Annals of Thoracic Surgery·James S Gammie, John W Brown
Aug 1, 1995·The Annals of Thoracic Surgery·W J DaenenM H Gewillig
Apr 25, 2006·The Annals of Thoracic Surgery·James S GammieBartley P Griffith
Nov 25, 2005·The Annals of Thoracic Surgery·John W BrownMark W Turrentine
Nov 7, 2003·The Annals of Thoracic Surgery·John W BrownMark W Turrentine
Dec 22, 2010·The Annals of Thoracic Surgery·Vinod H ThouraniOmar M Lattouf
Feb 9, 2002·The Annals of Thoracic Surgery·Sohit K KhannaH Victor Moore
Sep 1, 1991·The Annals of Thoracic Surgery·P R Vouhé, J Y Neveux
Aug 2, 2011·The Annals of Thoracic Surgery·James S GammieJohannes Bonatti
Dec 9, 2016·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Hussein A Al-AmodiBob B Kiaii
Jul 19, 2015·Asian Cardiovascular & Thoracic Annals·Gabriele Di GiammarcoMichele Di Mauro
May 30, 2013·Circulation·R Thomas Collins
Apr 19, 2012·Journal of Thoracic Imaging·John W NanceU Joseph Schoepf
Apr 30, 2017·Interactive Cardiovascular and Thoracic Surgery·Koji KawahitoYoshio Misawa

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