PMID: 11899194Mar 20, 2002Paper

PTFE monocusp valve reconstruction of the right ventricular outflow tract

The Annals of Thoracic Surgery
Mark W TurrentineJohn W Brown

Abstract

Transannular patching of right ventricular outflow tract obstructive (RVOTO) defects results in pulmonary insufficiency (PI). Biologic monocusp valves (MO) can prevent acute PI but are prone to early degeneration and progressive regurgitation. Polytetrafluoroethylene (PTFE, 0.1 mm) MO leaflets demonstrated favorable characteristics in animal studies, and the technique was applied to a variety of RVOTO anomalies. From June 1990 through June 1999, 158 patients underwent either PTFE MO RVOT reconstruction (n = 115 patients; 120 implants) or nonvalved transannular repair (TA) repairs (n = 43 patients; 5 subsequent MO implants) at our institution. Standard MO construction techniques and TA repairs were utilized. Intraoperative, postoperative, and echocardiographic data with a mean interval of 2.6 years (range 6 months to 8 years) were used in retrospective fashion to compare clinical outcomes. In addition, PTFE monocusp valves beyond 6 months postimplant underwent echocardiographic analysis of MO function and durability. There were 4 early (MO-3, TA-1) and no late deaths. Overall, perioperative complications were not significantly different between MO and TA groups, nor were total hospitalization days (9.1 versus 10.7, p = 0.24). Ho...Continue Reading

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Citations

Jan 9, 2010·General Thoracic and Cardiovascular Surgery·Yosuke TakahashiMasaaki Yamagishi
May 28, 2005·The Annals of Thoracic Surgery·J F Matthias BechtelHans H Sievers
Jun 30, 2004·The Annals of Thoracic Surgery·Sami S KabbaniDonald Ross
Mar 21, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·William J Brawn, John S K Murala
Jul 5, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Cheul LeeYang Min Kim
Oct 2, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Lior SassonAkiva Tamir
Jan 1, 2006·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Marco PozziAntonio F Corno
Jul 31, 2007·The Journal of Thoracic and Cardiovascular Surgery·Takako MiyazakiHideaki Kado
Mar 3, 2004·The Annals of Thoracic Surgery·Christian A BermudezGordon K Danielson
Mar 20, 2003·The Annals of Thoracic Surgery·Mark W TurrentineJohn W Brown
Aug 12, 2008·The Journal of Thoracic and Cardiovascular Surgery·Graham R NunnElla Onikul
Dec 14, 2011·The Journal of Thoracic and Cardiovascular Surgery·José Pedro da SilvaJefferson Duarte Flavio Magalhaes
Apr 1, 2010·Journal of the Saudi Heart Association·Sameh R IsmailMahmoud Elbarbary
May 1, 2007·The Journal of Thoracic and Cardiovascular Surgery·John W BrownMark W Turrentine
Feb 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Petros AnagnostopoulosTom R Karl
Jan 4, 2017·Seminars in Thoracic and Cardiovascular Surgery·Mohineesh KumarJohn W Brown
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Apr 29, 2014·Asian Cardiovascular & Thoracic Annals·Navaneetha SasikumarKootturathu Mammen Cherian
Mar 4, 2010·Interactive Cardiovascular and Thoracic Surgery·Chun Soo ParkYong Jin Kim
Sep 16, 2018·Asian Cardiovascular & Thoracic Annals·Andrew B HoNicola Viola
Apr 2, 2008·Congenital Heart Disease·Koh TakeuchiShin-ichi Takamoto
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Jan 27, 2007·Journal of Cardiovascular Medicine·Sachin KhambadkonePhilipp Bonhoeffer
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Dec 20, 2019·Cardiovascular Engineering and Technology·Wentao FengYubo Fan
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Dec 31, 2020·Interactive Cardiovascular and Thoracic Surgery·Te-I ChangChung-I Chang
Sep 19, 2020·The Annals of Thoracic Surgery·Kei KobayashiHiroshi Niinami

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