| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1995;109:509-518
© 1995 Mosby, Inc.
SURGERY FOR CONGENITAL HEART DISEASE |
Rochester, Minn.
Address for reprints: Gordon K. Danielson, MD, Section of Cardiovascular Surgery, 200 First St., SW, Rochester, MN 55905.
Abstract
To determine late patient outcome and homograft durability, we reviewed 326 patients who received aortic (n = 230) or pulmonary (n = 118) cryopreserved homografts for right ventricular outflow reconstruction between January 1985 and October 1993. Patient survival, including operative mortality, 5 years after the operation was similar between the two groups (ulmonary homograft 86%, aortic homograft 80%; p = not significant by log-rank test). However, 5-year freedom from homograft failure was significantly better for pulmonary homografts (94% versus 70%), p < 0.01 by log-rank test). Late calcification was evaluated by chest roentgenography and echocardiography. Overall, 20% of aortic homografts became moderately or severely calcified compared with 4% of pulmonary homografts (p < 0.001). Twenty-six percent of aortic homografts in children 4 years old or younger had moderate or severe obstruction associated with calcification, whereas only 11% of aortic homografts in patients over 4 years of age had calcific obstruction (p < 0.01). No late deaths among patients receiving pulmonary homografts were related to graft failure; two late deaths in the aortic homograft group were homograft related. Risk factors for patient mortality and homograft failure (defined as either need for homograft replacement because of homograft failure (p < 0.0001), but type of homograft was not correlated with patient mortality. Age 4 years or younger was a significant risk factor for homograft failure (p < 0.0001), but type of homograft was not correlated with patient mortality. Age 4 years or younger was a significant risk factor for both mortality (p < 0.01) and homograft failure (p = 0.03) in aortic homograft recipients but not in pulmonary homograft recipients. These results indicate that both aortic and pulmonary homografts provided excellent intermediate-term patient survival after right ventricular outflow tract reconstruction, but pulmonary homografts are more durable than aortic homografts with less calcification and obstruction, especially among children 4 years old or younger. (J THORAC CARDIOVASC SURG 1995; 109: 509-18)
This article has been cited by other articles:
|
|
 |
|
  M. D. Black, S. J. Ley, A.-M. Regal, and R. E. Shaw Novel Approach to Right Ventricular Outflow Tract Reconstruction Using a Stentless Porcine Valve Ann. Thorac. Surg., January 1, 2008; 85(1): 195 - 198. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Feldman and M. B. Leon Prospects for Percutaneous Valve Therapies Circulation, December 11, 2007; 116(24): 2866 - 2877. [Full Text] [PDF]
|
|
|
|
 |
|
 E. Troost, B. Meyns, W. Daenen, F. Van de Werf, M. Gewillig, K. Van Deyk, P. Moons, and W. Budts Homograft survival after tetralogy of Fallot repair: determinants of accelerated homograft degeneration Eur. Heart J., October 2, 2007; 28(20): 2503 - 2509. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Sekarski, H. van Meir, M. E.B. Rijlaarsdam, P. H. Schoof, D. R. Koolbergen, J. Hruda, L. K. von Segesser, E. J. Meijboom, and M. G. Hazekamp Right Ventricular Outflow Tract Reconstruction With the Bovine Jugular Vein Graft: 5 Years' Experience With 133 Patients Ann. Thorac. Surg., August 1, 2007; 84(2): 599 - 605. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sierra, J. T. Christenson, N. H. Lahlaidi, M. Beghetti, and A. Kalangos Right Ventricular Outflow Tract Reconstruction: What Conduit to Use? Homograft or Contegra? Ann. Thorac. Surg., August 1, 2007; 84(2): 606 - 611. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Ghez, V. T. Tsang, A. Frigiola, L. Coats, A. Taylor, C. Van Doorn, P. Bonhoeffer, and M. De Leval Right ventricular outflow tract reconstruction for pulmonary regurgitation after repair of tetralogy of Fallot.: Preliminary results Eur. J. Cardiothorac. Surg., April 1, 2007; 31(4): 654 - 658. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Schmidtke, G. Dahmen, B. Graf, and H.-H. Sievers Pulmonary homograft muscle reduction to reduce the risk of homograft stenosis in the Ross procedure J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 190 - 195. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Karamlou, E. H. Blackstone, J. A. Hawkins, M. L. Jacobs, K. R. Kanter, J. W. Brown, C. Mavroudis, C. A. Caldarone, W. G. Williams, B. W. McCrindle, et al. Can pulmonary conduit dysfunction and failure be reduced in infants and children less than age 2 years at initial implantation? J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 829 - 838. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Brown, M. Ruzmetov, M. D. Rodefeld, P. Vijay, and R. K. Darragh Valved bovine jugular vein conduits for right ventricular outflow tract reconstruction in children: an attractive alternative to pulmonary homograft. Ann. Thorac. Surg., September 1, 2006; 82(3): 909 - 916. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Shetty, A Pepin, A Charest, J Perron, D Doyle, P Voisine, F Dagenais, P Pibarot, and P Mathieu Expression of bone-regulatory proteins in human valve allografts Heart, September 1, 2006; 92(9): 1303 - 1308. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Coats, S. Khambadkone, G. Derrick, S. Sridharan, S. Schievano, B. Mist, R. Jones, J. E. Deanfield, D. Pellerin, P. Bonhoeffer, et al. Physiological and Clinical Consequences of Relief of Right Ventricular Outflow Tract Obstruction Late After Repair of Congenital Heart Defects Circulation, May 2, 2006; 113(17): 2037 - 2044. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Khambadkone, L. Coats, A. Taylor, Y. Boudjemline, G. Derrick, V. Tsang, J. Cooper, V. Muthurangu, S. R. Hegde, R. S. Razavi, et al. Percutaneous Pulmonary Valve Implantation in Humans: Results in 59 Consecutive Patients Circulation, August 23, 2005; 112(8): 1189 - 1197. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Brown, M. Ruzmetov, M. D. Rodefeld, P. Vijay, and M. W. Turrentine Right Ventricular Outflow Tract Reconstruction With an Allograft Conduit in Non-Ross Patients: Risk Factors for Allograft Dysfunction and Failure Ann. Thorac. Surg., August 1, 2005; 80(2): 655 - 664. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Mohammadi, E. Belli, I. Martinovic, L. Houyel, A. Capderou, J. Petit, C. Planche, and A. Serraf Surgery for right ventricle to pulmonary artery conduit obstruction: risk factors for further reoperation Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 217 - 222. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. S. Selamet Tierney, W. M. Gersony, K. Altmann, D. E. Solowiejczyk, L. M. Bevilacqua, C. Khan, E. Krongrad, R. S. Mosca, J. M. Quaegebeur, and H. D. Apfel Pulmonary position cryopreserved homografts: Durability in pediatric Ross and non-Ross patients J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 282 - 286. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Koh, T. Yagihara, H. Uemura, K. Kagisaki, I. Hagino, T. Ishizaka, and S. Kitamura Long-term outcome of right ventricular outflow tract reconstruction using a handmade tri-leaflet conduit Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 807 - 814. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Feier, F. Collart, O. Ghez, A. Riberi, T. Caus, B. Kreitmann, and D. Metras Risk Factors, Dynamics, and Cutoff Values for Homograft Stenosis After the Ross Procedure Ann. Thorac. Surg., May 1, 2005; 79(5): 1669 - 1675. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Quintessenza, J. P. Jacobs, V. O. Morell, J. M. Giroud, and R. J. Boucek Initial Experience With a Bicuspid Polytetrafluoroethylene Pulmonary Valve in 41 Children and Adults: A New Option For Right Ventricular Outflow Tract Reconstruction Ann. Thorac. Surg., March 1, 2005; 79(3): 924 - 931. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. H. Dave, A. Kadner, F. Berger, B. Seifert, A. Dodge-Khatami, D. Bettex, and R. Pretre Early Results of the Bovine Jugular Vein Graft Used for Reconstruction of the Right Ventricular Outflow Tract Ann. Thorac. Surg., February 1, 2005; 79(2): 618 - 624. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Boethig, W.-R. Thies, H. Hecker, and T. Breymann Mid term course after pediatric right ventricular outflow tract reconstruction: a comparison of homografts, porcine xenografts and Contegras Eur. J. Cardiothorac. Surg., January 1, 2005; 27(1): 58 - 66. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Takabayashi, H. Kado, Y. Shiokawa, K. Fukae, and T. Nakano Modified Ross procedure using a conduit with a synthetic valve Eur. J. Cardiothorac. Surg., December 1, 2004; 26(6): 1087 - 1091. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. R. Tiete, J. S. Sachweh, U. Roemer, R. Kozlik-Feldmann, B. Reichart, and S. H. Daebritz Right ventricular outflow tract reconstruction with the Contegra bovine jugular vein conduit: a word of caution Ann. Thorac. Surg., June 1, 2004; 77(6): 2151 - 2156. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. R. Lee, H. G. Lim, Y. J. Kim, J. R. Rho, E. J. Bae, C. I. Noh, Y. S. Yun, and C. Ahn Repair of transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 735 - 741. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Bermudez, J. A. Dearani, F. J. Puga, H. V. Schaff, C. A. Warnes, P. W. O'Leary, C. D. Schleck, and G. K. Danielson Late results of the peel operation for replacement of failing extracardiac conduits Ann. Thorac. Surg., March 1, 2004; 77(3): 881 - 888. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. A. Atik, E. Atik, C. R. da Cunha, L. F. Caneo, R. S. Assad, M. B. Jatene, A. Riso, and M. Barbero-Marcial Long-term results of correction of tetralogy of Fallot in adulthood Eur. J. Cardiothorac. Surg., February 1, 2004; 25(2): 250 - 255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Christenson, D. Vala, J. Sierra, M. Beghetti, and A. Kalangos Blood group incompatibility and accelerated homograft fibrocalcifications J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 242 - 250. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. F. Baskett, M. A. Nanton, A. E. Warren, and D. B. Ross Human leukocyte antigen-DR and ABO mismatch are associated with accelerated homograft valve failure in children: implications for therapeutic interventions J. Thorac. Cardiovasc. Surg., July 1, 2003; 126(1): 232 - 238. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Dearani, G. K. Danielson, F. J. Puga, H. V. Schaff, C. W. Warnes, D. J. Driscoll, C. D. Schleck, and D. M. Ilstrup Late follow-up of 1095 patients undergoing operation for complex congenital heart disease utilizing pulmonary ventricle to pulmonary artery conduits Ann. Thorac. Surg., February 1, 2003; 75(2): 399 - 411. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Laforest, J. G. Dumesnil, M. Briand, P. C. Cartier, and P. Pibarot Hemodynamic Performance at Rest and During Exercise After Aortic Valve Replacement: Comparison of Pulmonary Autografts Versus Aortic Homografts Circulation, September 24, 2002; 106(12_suppl_1): I-57 - I-62. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. X. Schmid, A. Keyser, C. Wiesenack, S. Holmer, and D. E. Birnbaum Stentless xenografts and homografts for right ventricular outflow tract reconstruction during the ross operation Ann. Thorac. Surg., September 1, 2002; 74(3): 684 - 688. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. S. Allen, C. El-Zein, B. Cuneo, J. P. Cava, M. J. Barth, and M. N. Ilbawi Pericardial tissue valves and gore-tex conduits as an alternative for right ventricular outflow tract replacement in children Ann. Thorac. Surg., September 1, 2002; 74(3): 771 - 777. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Bove, H. Demanet, P. Wauthy, J. P. Goldstein, H. Dessy, P. Viart, A. Deville, and F. E. Deuvaert Early results of valved bovine jugular vein conduit versus bicuspid homograft for right ventricular outflow tract reconstruction Ann. Thorac. Surg., August 1, 2002; 74(2): 536 - 541. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Cho, F. J. Puga, G. K. Danielson, J. A. Dearani, D. D. Mair, D. J. Hagler, P. R. Julsrud, and D. M. Ilstrup Early and long-term results of the surgical treatment of tetralogy of Fallot with pulmonary atresia, with or without major aortopulmonary collateral arteries J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 70 - 81. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. J. Wells, H. Arroyo Jr, R. M. Bremner, J. Wood, and V. A. Starnes Homograft conduit failure in infants is not due to somatic outgrowth J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 88 - 96. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Kanter, J. M. Budde, W. J. Parks, V. K.H. Tam, S. Sharma, W. H. Williams, and D. A. Fyfe One hundred pulmonary valve replacements in children after relief of right ventricular outflow tract obstruction Ann. Thorac. Surg., June 1, 2002; 73(6): 1801 - 1807. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S. Carr-White, P. J. Kilner, J. K.F. Hon, T. Rutledge, S. Edwards, E. D. Burman, D. J. Pennell, and M. H. Yacoub Incidence, Location, Pathology, and Significance of Pulmonary Homograft Stenosis After the Ross Operation Circulation, September 18, 2001; 104(90001): I-16 - 20. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M.H.D. Danton, D.J. Barron, O. Stumper, J.G. Wright, J. De Giovannni, E.D. Silove, and W.J. Brawn Repair of truncus arteriosus: a considered approach to right ventricular outflow tract reconstruction Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 95 - 104. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. B. Chard, N. Kang, D. R. Andrews, and G. R. Nunn Use of the Medtronic freestyle valve as a right ventricular to pulmonary artery conduit Ann. Thorac. Surg., May 1, 2001; 71 (2007): S361 - S364. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Lange, J. Weipert, M. Homann, N. Mendler, S.-U. Paek, K. Holper, and H. Meisner Performance of allografts and xenografts for right ventricular outflow tract reconstruction Ann. Thorac. Surg., May 1, 2001; 71 (2007): S365 - S367. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. G. Gerestein, J. J.M. Takkenberg, F. B.S. Oei, A. H. Cromme-Dijkhuis, S. E.C. Spitaels, L. A. van Herwerden, E. W. Steyerberg, and A. J.J.C. Bogers Right ventricular outflow tract reconstruction with an allograft conduit Ann. Thorac. Surg., March 1, 2001; 71(3): 911 - 917. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. R. Bielefeld, D. A. Bishop, D. N. Campbell, M. B. Mitchell, F. L. Grover, and D. R. Clarke Reoperative homograft right ventricular outflow tract reconstruction Ann. Thorac. Surg., February 1, 2001; 71(2): 482 - 488. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A.J. Levine, P.A. Miller, O.S. Stumper, J.G.C. Wright, E.D. Silove, J.V. De Giovanni, B. Sethia, and W.J. Brawn Early results of right ventricular-pulmonary artery conduits in patients under 1 year of age Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 122 - 126. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Discigil, J. A. Dearani, F. J. Puga, H. V. Schaff, D. J. Hagler, C. A. Warnes, and G. K. Danielson Late pulmonary valve replacement after repair of tetralogy of Fallot J. Thorac. Cardiovasc. Surg., February 1, 2001; 121(2): 0344 - 351. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Forbess, A. S. Shah, J. D. St. Louis, J. J. Jaggers, and R. M. Ungerleider Cryopreserved homografts in the pulmonary position: determinants of durability Ann. Thorac. Surg., January 1, 2001; 71(1): 54 - 59. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Dittrich, V. V. Alexi-Meskishvili, A. C. Yankah, I. Dahnert, R. Meyer, R. Hetzer, and P. E. Lange Comparison of porcine xenografts and homografts for pulmonary valve replacement in children Ann. Thorac. Surg., September 1, 2000; 70(3): 717 - 722. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Kneebone and F. M. Lupinetti Procollagen synthesis by fresh and cryopreserved rat pulmonary valve grafts J. Thorac. Cardiovasc. Surg., September 1, 2000; 120(3): 596 - 603. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Kreutzer, J. De Vive, G. Oppido, J. Kreutzer, K. Gauvreau, M. Freed, J. E. Mayer Jr, R. Jonas, and P. J. del Nido Twenty-five-year experience with Rastelli repair for transposition of the great arteries J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 211 - 223. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Homann, J. C. Haehnel, N. Mendler, S. U. Paek, K. Holper, H. Meisner, and R. Lange Reconstruction of the RVOT with valved biological conduits: 25 years experience with allografts and xenografts Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 624 - 630. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Schlichter, C. Kreutzer, R. d. C. Mayorquim, J. L. Simon, M. I. Roman, H. Vazquez, E. A. Kreutzer, G. O. Kreutzer, and S. R. A. Jonas Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits J. Thorac. Cardiovasc. Surg., May 1, 2000; 119(5): 869 - 879. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Turley Aortic allografts: reconstruction of right ventricle-pulmonary artery continuity Ann. Thorac. Surg., July 1, 1999; 68(1): 289 - 290. [Full Text] [PDF]
|
|
|
|
|
|
K. Niwaya, C. J. Knott-Craig, M. M. Lane, K. Chandrasekaren, E. D. Overholt, and R. C. Elkins CRYOPRESERVED HOMOGRAFT VALVES IN THE PULMONARY POSITION: RISK ANALYSIS FOR INTERMEDIATE-TERM FAILURE J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 141 - 147. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Fukada, K. Morishita, K. Komatsu, and T. Abe Influence of Pulmonic Position on Durability of Bioprosthetic Heart Valves Ann. Thorac. Surg., December 1, 1997; 64(6): 1678 - 1680. [Abstract] [Full Text]
|
|
|
|
|
|
D. Metras, B. Kreitmann, A. Riberi, J.-G. Yao, E. El-Khoury, F. Wernert, and A. Pannetier-Mille EXTENDING THE CONCEPT OF THE AUTOGRAFT FOR COMPLETE REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT AND LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION: A REPORT OF TEN CASES OF A MODIFIED PROCEDURE J. Thorac. Cardiovasc. Surg., November 1, 1997; 114(5): 746 - 754. [Abstract] [Full Text]
|
|
|
|
|
|
S. Westaby and T. Katsumata Congenital Absence of a Single Pulmonary Valve Cusp Ann. Thorac. Surg., September 1, 1997; 64(3): 849 - 851. [Abstract] [Full Text]
|
|
|
|
|
|
R. E. Shaddy, D. D. Hunter, K. A. Osborn, L. M. Lambert, L. L. Minich, J. A. Hawkins, E. C. McGough, and T. C. Fuller Prospective Analysis of HLA Immunogenicity of Cryopreserved Valved Allografts Used in Pediatric Heart Surgery Circulation, September 1, 1996; 94(5): 1063 - 1067. [Abstract] [Full Text]
|
|
|
|
|
|
R. C. Elkins, M. M. Lane, and C. McCue Pulmonary Autograft Reoperation: Incidence and Management Ann. Thorac. Surg., August 1, 1996; 62(2): 450 - 455. [Abstract] [Full Text]
|
|
|
|
|
|
A. J. Schlichter, C. Kreutzer, R. de C.Mayorquim, J. L. Simon, H. Vazquez, M. I. Roman, and G. O. A. Kreutzer Long-Term Follow-up of Autologous Pericardial Valved Conduits Ann. Thorac. Surg., July 1, 1996; 62(1): 155 - 160. [Abstract] [Full Text]
|
|
|
|
|
|
