Truncus arteriosus repair: influence of techniques of right ventricular outflow tract reconstruction

The Journal of Thoracic and Cardiovascular Surgery
F Lacour-GayetC Planché

Abstract

Fifty-six consecutive patients underwent total correction of truncus arteriosus. Median age at repair was 41 days, with a range of 2 days to 8 months. In 71% the operation was done in the first 2 months of life. Nine patients had complex forms of truncus and 11 patients had aortic insufficiency. The truncal aortic root was transected, which provides a clear exposure of the coronary ostia. The aorta was reconstructed by direct end-to-end anastomosis, and the truncal valve was preserved in every case. Several different techniques were used for pulmonary reconstruction, including three types of anatomic reconstruction of the pulmonary valve with a trisigmoid leaflet system and two types of nonanatomic reconstruction. The anatomic techniques included use of 33 Dacron valved conduits, eight homograft valved conduits, and one porcine aortic root bioprosthesis. The nonanatomic reconstructions included direct anastomosis to the right ventricle in nine patients and insertion of autologous pericardial valved conduits in five. The hospital mortality was 16% (9/56; 95% confidence limits, 2% to 30%). Multivariate analysis outlines two independent incremental risk factors for hospital death: nonanatomic pulmonary valve reconstruction techniq...Continue Reading

References

Oct 11, 1991·The Annals of Thoracic Surgery·J M PearlR Williams

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Citations

Jul 9, 1998·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·K FujiwaraS Uemura
Aug 28, 2003·Current Treatment Options in Cardiovascular Medicine·Barbara Ferdman, Gautam Singh
May 28, 2005·The Annals of Thoracic Surgery·Takashi MiyamotoAndreas E Urban
Feb 9, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tomas TlaskalPetr Tax
Mar 5, 2005·The Journal of Thoracic and Cardiovascular Surgery·Jonathan M ChenJan M Quaegebeur
Dec 14, 2001·The American Journal of Cardiology·C DukeJ M Simpson
Feb 4, 1999·The Annals of Thoracic Surgery·A E UrbanS Malorny
Sep 4, 1999·The Annals of Thoracic Surgery·J PerronR A Jonas
Apr 12, 2000·Journal of the American College of Cardiology·D B McElhinneyF L Hanley
Aug 10, 1999·Journal of the American College of Cardiology·J M WilliamsB W McCrindle
Jul 21, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J W BrownM W Turrentine
Apr 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·C P BrizardT R Karl
Jan 22, 2013·Cardiology in the Young·Paul J ChaiJames A Quintessenza
Jan 1, 2012·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Vladimir SojakMark Hazekamp
Oct 30, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Osami HonjoShunji Sano
Jan 1, 2008·Multimedia Manual of Cardiothoracic Surgery : MMCTS·François Lacour-Gayet, Steven Goldberg
Jan 1, 2008·Annals of Pediatric Cardiology·Krishna S Iyer
Apr 30, 2010·The Journal of Thoracic and Cardiovascular Surgery·Hunaid A VohraMarcus P Haw
Dec 25, 2007·The Annals of Thoracic Surgery·Roland HenaineAlain Serraf
Sep 13, 2015·Interactive Cardiovascular and Thoracic Surgery·Stany SandrioRobert Cesnjevar
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Mark D Rodefeld, Frank L Hanley
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Miguel Barbero-Marcial, Carla Tanamati
Jun 26, 2007·The Annals of Thoracic Surgery·Paneer S Krishna MoorthyDavid J Barron
Feb 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·G O Kreutzer
Nov 28, 2006·The Annals of Thoracic Surgery·Georgios KalavrouziotisMarco Pozzi
Jan 24, 2006·The Annals of Thoracic Surgery·Masahiro KohSoichiro Kitamura
Dec 30, 2016·World Journal for Pediatric & Congenital Heart Surgery·Samuel Ramírez-MarroquínJorge Luis Cervantes-Salazar
Jun 3, 2008·Asian Cardiovascular & Thoracic Annals·Vichai BenjacholamasPornthep Lertsapcharoen
May 29, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Rishi ParikhFaith J Ross
Feb 16, 2019·Interactive Cardiovascular and Thoracic Surgery·Yaroslav IvanovIllya Yemets
Nov 11, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Francesca GotschLami Yeo
Nov 23, 2011·Expert Review of Cardiovascular Therapy·Paolo de SienaMassimo Caputo
Aug 15, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Anthony AzakieRichard W Bianco
Oct 20, 2019·European Heart Journal Cardiovascular Imaging·Saurabh Kumar GuptaRobert H Anderson
Mar 25, 2020·Interactive Cardiovascular and Thoracic Surgery·Massimo A PadalinoGiovanni Stellin
Aug 24, 2020·The Annals of Thoracic Surgery·Phillip S Naimo, Igor E Konstantinov
Dec 22, 2020·The Journal of Thoracic and Cardiovascular Surgery·Neil DerridjDamien Bonnet

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