HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Andrés J. Schlichter Christian Kreutzer Jorge L. Simon Guillermo O. Kreutzer Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Schlichter, A. J. Articles by Jonas, S. R. A. Search for Related Content PubMed PubMed Citation Articles by Schlichter, A. J. Articles by Jonas, S. R. A.

J Thorac Cardiovasc Surg 2000;119:869-879
© 2000 The American Association for Thoracic Surgery

Surgery For Congenital Heart Disease

Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits

From the Children’s Hospital "Ricardo Gutierrez"^a and Clinica Bazterrica,^b Buenos Aires, Argentina.

Address for reprints: Andrés J. Schlichter, MD, Hospital de Niños "Ricardo Gutierrez," Cirugía Cardiovascular, Gallo 1330, Unidad 17; 1425 Buenos Aires, Argentina (E-mail: schlichter{at}overnet.com.ar ).

Objective: Evaluate long-term results of autologous pericardial valved conduits in the pulmonary outflow.
Methods: Between June 1983 and October 1993, 82 conduits were placed in the outflow of the venous ventricle. Patients who received homografts (n = 2 patients), heterografts (n = 3 patients), and valveless conduits (n = 19 patients) and those patients who died within 90 days after the operation were excluded. Fifty-four survivors of pulmonary outflow reconstruction with fresh autologous pericardial valved conduits were followed up from 5 to 15 years (mean, 7.47 ± 2.8 years). Diagnosis include D -transposition of great arteries (n = 16 patients), L -transposition of great arteries (n = 14 patients), tetralogy of Fallot, pulmonary atresia with ventricular septal defect (n = 11 patients), truncus arteriosus (n = 10 patients), and double-outlet ventricle (n = 3 patients). Implantation age ranged from 0.25 to 24 years (mean, 5.2 ± 4.2 years). Median conduit diameter was 16 mm. Two-dimensional echocardiographic Doppler evaluations were made yearly; 9 patients underwent cardiac catheterization. Reintervention for stenosis was indicated when the pressure gradient exceeded 50 mm Hg.
Results: Three late deaths were unrelated to the conduit. Thirty-five autologous pericardial valved conduits increased in diameter (1-7 mm), remained unchanged in 15 patients, and reduced 1 to 2 mm in 4 patients. The median diameter was 18 mm at the last evaluation (P = .0001). Eight patients required conduit-related reoperation 3 to 8 years after the implantation. Two patients underwent balloon dilation of the autologous pericardial valved conduit. No conduit had to be replaced. Freedom from reintervention at 5 and 10 years was 92% and 76%, being 100% at 10 years for conduits larger than 16 mm at time of implantation.
Conclusions: Autologous pericardial valved conduits show excellent long-term results and compare favorably with other conduits.

This article has been cited by other articles:

				W. A. Goetz, T. E. Tan, K. H. Lim, F. Xiong, S. L. H. Salgues, N. Grousson, Y. L. Chua, and J. H. Yeo Autologous pericardial pulmonary conduit with single point attached commissures in a sheep model Eur. J. Cardiothorac. Surg., January 1, 2008; 33(1): 48 - 52. [Abstract] [Full Text] [PDF]

				D. M. McMullan, G. Oppido, N. Alphonso, A. D. Cochrane, Y. d. d'Acoz, and C. P. Brizard Evaluation of downsized homograft conduits for right ventricle-to-pulmonary artery reconstruction J. Thorac. Cardiovasc. Surg., July 1, 2006; 132(1): 66 - 71. [Abstract] [Full Text] [PDF]

				C. Schreiber, S. Sassen, M. Kostolny, J. Horer, J. Cleuziou, M. Wottke, K. Holper, F. Fend, A. Eicken, and R. Lange Early graft failure of small-sized porcine-valved conduits in reconstruction of the right ventricular outflow tract. Ann. Thorac. Surg., July 1, 2006; 82(1): 179 - 185. [Abstract] [Full Text] [PDF]

				T. Chotivatanapong, C. Kasemsarn, C. Yosthasurodom, P. Chaiseri, V. Sungkahapong, and K. Hengrussamee Autologous Pericardial Valved Conduit for The Ross Operation Asian Cardiovasc Thorac Ann, December 1, 2005; 13(4): 321 - 324. [Abstract] [Full Text] [PDF]

				J. K. White, A. K. Agnihotri, J. S. Titus, and D. F. Torchiana A Stentless Trileaflet Valve From a Sheet of Decellularized Porcine Small Intestinal Submucosa Ann. Thorac. Surg., August 1, 2005; 80(2): 704 - 707. [Abstract] [Full Text] [PDF]

				V. Gober, P. Berdat, M. Pavlovic, J.-P. Pfammatter, and T. P. Carrel Adverse Mid-Term Outcome Following RVOT Reconstruction Using the Contegra Valved Bovine Jugular Vein Ann. Thorac. Surg., February 1, 2005; 79(2): 625 - 631. [Abstract] [Full Text] [PDF]

				Y. Isomatsu, T. Shin'oka, M. Aoki, M. Terada, T. Takeuchi, S. Hoshino, Y. Takanashi, Y. Imai, and H. Kurosawa Establishing right ventricle-pulmonary artery continuity by autologous tissue: an alternative approach for prosthetic conduit repair Ann. Thorac. Surg., July 1, 2004; 78(1): 173 - 180. [Abstract] [Full Text] [PDF]

				Z. M. Hijazi Transcatheter valve replacement: a new era of percutaneous cardiac intervention begins J. Am. Coll. Cardiol., March 17, 2004; 43(6): 1088 - 1089. [Full Text] [PDF]

				K. R. Kanter, D. A. Fyfe, W. T. Mahle, J. M. Forbess, and P. M. Kirshbom Results with the freestyle porcine aortic root for right ventricular outflow tract reconstruction in children Ann. Thorac. Surg., December 1, 2003; 76(6): 1889 - 1895. [Abstract] [Full Text] [PDF]

				Y. Boudjemline, D. Bonnet, T. A. Massih, G. Agnoletti, F. Iserin, F. Jaubert, D. Sidi, and P. Vouhe Use of bovine jugular vein to reconstruct the right ventricular outflow tract: early results J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 490 - 497. [Abstract] [Full Text] [PDF]

				C. Kreutzer Rastelli repair for transposition of the great arteries J. Thorac. Cardiovasc. Surg., April 1, 2003; 125(4): 974 - 974. [Full Text] [PDF]

				N. Hibino, T. Shin'oka, and H. Kurosawa Long-Term Histologic Findings in Pulmonary Arteries Reconstructed with Autologous Pericardium N. Engl. J. Med., February 27, 2003; 348(9): 865 - 867. [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]

				Y. Boudjemline, D. Bonnet, G. Agnoletti, and P. Vouhe Aneurysm of the right ventricular outflow following bovine valved venous conduit insertion Eur. J. Cardiothorac. Surg., January 1, 2003; 23(1): 122 - 124. [Abstract] [Full Text] [PDF]

				P. Bonhoeffer, Y. Boudjemline, S. A. Qureshi, J. Le Bidois, L. Iserin, P. Acar, J. Merckx, J. Kachaner, and D. Sidi Percutaneous insertion of the pulmonary valve J. Am. Coll. Cardiol., May 15, 2002; 39(10): 1664 - 1669. [Abstract] [Full Text] [PDF]