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J Thorac Cardiovasc Surg 2004;127:1204-1207
© 2004 The American Association for Thoracic Surgery

Brief communication

The bovine jugular vein conduit for right ventricular outflow tract reconstruction: A feasible alternative to homograft conduits?

^a Department of Cardiovascular Surgery, University of Padua Medical School, Padua, Italy
^b Department of Cardiovascular Pathology, University of Padua Medical School, Padua, Italy

Received for publication August 8, 2003; revisions received September 6, 2003; accepted for publication September 10, 2003.

^* Address for reprints: Tomaso Bottio, MD, Department of Cardiovascular Surger, Via Guistiniani, 2, 35128 Padua, Italy
tomaso.bottio@unipd.it

The first 20% of the full text of this article appears below.

The bovine jugular vein conduit (BJVC) has been proposed for use in cardiac surgery for correction of congenital heart defects, either for right ventricular outflow tract (RVOT) reconstruction¹ or total cavopulmonary anastomosis completion in Fontan circulation.² Short-term and midterm results with the BJVC are controversial: satisfactory when used for RVOT reconstruction but rather disappointing for Fontan completion. In this study we report our early and late clinical results with BJVCs implanted in infants and children for RVOT reconstruction.

Clinical summary

Between June 1999 and December 2002, 10 patients (7 male and 3 female patients) with a median age of 2 months (mean age, 13.7 ± 25.1 months) underwent surgical repair of congenital heart defects, including reconstruction of the RVOT with a BJVC (Contegra; Medtronic, Inc, Minneapolis, Minn).

Patient demographics are detailed in Table 1. ³ Truncus arteriosus was the indication in 5 patients (with right ventricular hypoplasia in 1 patient), tetralogy of Fallot with pulmonary atresia in 2 patients, aortic arch interruption type B with severe aortic stenosis in 1 patient, double-outlet right ventricle with pulmonary atresia in 1 patient, and aortic stenosis in 1 patient. Four patients had undergone previous palliative procedures.

There were 2 (20%) hospital deaths. One patient (patient 3) operated on for truncus arteriosus died suddenly on the 52nd postoperative day at home. The second patient (patient 5), who underwent a Ross-Konno procedure and a mitral valvuloplasty for aortic and mitral stenosis, died on the first postoperative day after an airway suction procedure. A third patient (patient 8), a baby girl operated on for truncus arteriosus type A-4 . . . [Full Text of this Article]