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): Pascal Vouhé Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Boudjemline, Y. Articles by Vouhé, P. Search for Related Content PubMed PubMed Citation Articles by Boudjemline, Y. Articles by Vouhé, P. Related Collections Congenital - acyanotic Congenital - cyanotic Great vessels Valve disease

J Thorac Cardiovasc Surg 2003;126:490-497
© 2003 The American Association for Thoracic Surgery

Surgery for congenital heart disease

Use of bovine jugular vein to reconstruct the right ventricular outflow tract: early results

^a Service de Cardiologie Pédiatrique, Hôpital Necker Enfants Malades, Paris, France
^b Service d’anatomie et de cytologie pathologiques, Hôpital Necker Enfants Malades, Paris, France
^c Service de Chirurgie Cardiaque, Hôpital Necker Enfants Malades, Paris, France

Received for publication May 5, 2002; revisions received July 8, 2002; revisions received August 1, 2002; accepted for publication August 15, 2002.

^* Address for reprints: Dr Younes Boudjemline, Service de Cardiologie Pédiatrique, Hôpital Necker Enfants Malades, 149, rue de Sèvres, 75743 Paris Cedex 15, France
younes.boudjemline{at}nck.ap-hop-paris.fr

OBJECTIVE: We evaluate early results of bovine jugular vein conduits in the pulmonary outflow.

METHODS: Between April 2000 and September 2001, 31 conduits were placed in the outflow of the right ventricle. Patients who received a conduit as a staged surgical procedure were excluded (n = 3). Implantation age ranged from 0 to 21 years (median, 3.4 years). Conduit diameter ranged from 12 to 20 mm (median, 14 mm). Transthoracic echocardiography was performed at discharge and 3 months after surgery. Patients with significant pulmonary regurgitation and/or stenosis underwent cardiac catheterization.

RESULTS: Four patients died during the follow-up period. Three deaths were unrelated to the conduit. One death was related to the complete thrombosis of the conduit. At 3 months evaluation, pulmonary valve regurgitation was absent or trivial in 19, mild in 2 and severe in 3 of 24 survivors. Four patients had nonfatal conduit-related complications. A transient thrombus formation within 1 leaflet was noted postoperatively in a patient with a moderate pulmonary regurgitation. Three patients required reoperation 3 to 5.8 months after the implantation for conduit failure (mean, 4.3 months). Cardiac catheterization before replacement revealed an aneurysmal dilation of the conduit below a severe stenosis of the pulmonary bifurcation due to important neointimal proliferation.

CONCLUSIONS: Early failure of bovine jugular vein valved conduits can occur because of exaggerated intimal proliferation or thrombotic process within the conduit. Because of these complications, close echocardiographic follow-up is mandatory during the first weeks after implantation.

This article has been cited by other articles:

				T. Miyazaki, M. Yamagishi, A. Nakashima, K. Fukae, T. Nakano, H. Yaku, and H. Kado Expanded polytetrafluoroethylene valved conduit and patch with bulging sinuses in right ventricular outflow tract reconstruction J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 327 - 332. [Abstract] [Full Text] [PDF]

				W. Li, W.-Y. Liu, D.-H. Yi, S.-Q. Yu, and Z.-X. Jin Histological/Biological Characterization of Decellularized Bovine Jugular Vein Asian Cardiovasc Thorac Ann, April 1, 2007; 15(2): 91 - 96. [Abstract] [Full Text] [PDF]

				E. M. Delmo-Walter, V. Alexi-Meskishvili, H. Abdul-Khaliq, R. Meyer, and R. Hetzer Aneurysmal Dilatation of the Contegra Bovine Jugular Vein Conduit After Reconstruction of the Right Ventricular Outflow Tract Ann. Thorac. Surg., February 1, 2007; 83(2): 682 - 684. [Abstract] [Full Text] [PDF]

				B. Chiappini, C. Barrea, and J. Rubay Right Ventricular Outflow Tract Reconstruction With Contegra Monocuspid Transannular Patch in Tetralogy of Fallot Ann. Thorac. Surg., January 1, 2007; 83(1): 185 - 187. [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]

				S. O. Shebani, S. McGuirk, M. Baghai, J. Stickley, J. V. De Giovanni, F. A. Bu'Lock, D. J. Barron, and W. J. Brawn Right ventricular outflow tract reconstruction using Contegra(R) valved conduit: natural history and conduit performance under pressure Eur. J. Cardiothorac. Surg., March 1, 2006; 29(3): 397 - 405. [Abstract] [Full Text] [PDF]

				T. Shinkawa, M. Yamagishi, K. Shuntoh, K. Koushi, M. Ogawa, and H. Yaku Pulmonary Artery Augmentation Using Autologous Vena Cava in Right Heart Bypass Operations Ann. Thorac. Surg., March 1, 2006; 81(3): 1143 - 1145. [Abstract] [Full Text] [PDF]

				M. Pawelec-Wojtalik, W. Mrowczynski, A. Wodzinski, M. Wojtalik, J. Henschke, and G. K Sharma Mid-Term Experience with Valved Bovine Jugular Vein Conduits Asian Cardiovasc Thorac Ann, December 1, 2005; 13(4): 361 - 365. [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]

				M. Purohit, D. Kitchiner, and M. Pozzi Contegra bovine jugular vein right ventricle to pulmonary artery conduit in Ross procedure Ann. Thorac. Surg., May 1, 2004; 77(5): 1707 - 1710. [Abstract] [Full Text] [PDF]

				Y. Boudjemline, D. Bonnet, and D. Sidi Reply to the Editor J. Thorac. Cardiovasc. Surg., February 1, 2004; 127(2): 611 - 611. [Full Text] [PDF]

				C. Zavanella and F. Portela Early failure of bovine jugular vein conduits J. Thorac. Cardiovasc. Surg., February 1, 2004; 127(2): 610 - 610. [Full Text] [PDF]