Extra-anatomic right ventricle to pulmonary artery conduit: the apical-aortic equivalent for complex right ventricular outflow tract reconstruction

The Annals of Thoracic Surgery
Makoto MoriBrian Kogon

Abstract

We describe the case of a 22-year-old with tetralogy of Fallot, who underwent complete repair with ventricular septal defect closure and right ventricle to pulmonary artery conduit placement. She has undergone numerous subsequent conduit changes, each complicated by early stenosis and failure. Unfortunately, serial conduit changes can become increasingly challenging. While extra-anatomic conduits have been described for complex left ventricular outflow tract obstruction, they have not been described for right-sided obstruction. Herein, we present a patient who underwent successful placement of an extra-anatomic valved right ventricle to pulmonary artery conduit in the setting of complex right ventricular outflow tract obstruction.

References

May 30, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tjalling W WaterbolkTjark Ebels
Mar 13, 2008·Journal of Cardiovascular Medicine·Shi-Min YuanEhud Raanani
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Aditya K KazaFrank A Pigula
Nov 26, 2010·The Annals of Thoracic Surgery·John M StulakHartzell V Schaff
Jun 28, 2011·Congenital Heart Disease·Brian E KogonWendy Book

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