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J Thorac Cardiovasc Surg 1997;113:958
© 1997 Mosby, Inc.

LETTERS TO THE EDITOR

Pedicled pericardial flaps

Hôpital Bichat
Chirurgie CardioVasculaire
46 Rue Henri Huchard
Paris 75018, France

To the Editor:

I congratulate Khoury and associates for the excellent results obtained with the Laennec group in Paris using pedicled pericardial flaps, a technique that we started together in the Bichat Hospital Paris in 1985.

I developed and used the flaps in eight patients (aged 6 months to 8 years) with tetralogy of Fallot for iatrogenic or congenital stenosis of their pulmonary artery branches (left pulmonary artery in four, right pulmonary artery in one, and bifurcation in four). The follow-up is now between 5 and 10 years, with superb results except for one failure resulting from technical difficulties during the operation.

Between July 1989 and July 1992, I also used pedicled pericardial tubes in 12 patients with tricuspid atresia to bridge the inferior vena cava to the main pulmonary artery for bicaval to pulmonary artery connections. The mean age of the patients was 4 ± 2.8 years and mean body weight was 10.5 ± 4.9 kg. The follow-up is 4 to 7 years, with stable clinical results and enlarged conduits in the three patients who have had angiograms.

We stopped using the technique because our hospital no longer treats pediatric patients, so I can only show gratitude toward Wassim Khoury and Francine Leca for taking an interest in the technique and proving its results.

12/8/80096

References

1. Hvass U, Khoury W, Pansard Y, Videcoq M. Repair of pulmonary artery branches with broadly based autologous pericardial flaps. J Thorac Cardiovasc Surg 1988;95:738.
   
2. Hvass U, Depoix JP, Pansard Y. Total cavopulmonary derivation with the use of a pediculated pericardial tube between the inferior vena cava and the pulmonary artery trunk in tricuspid atresia (letter). J Thorac Cardiovasc Surg 1992;103:1227-8.[Medline]
   
3. Hvass U, Pansard Y, Boehm G, Depoix JP, Enguerrand D, Worms AM. Bicaval pulmonary connection in tricuspid atresia using an extracardiac tube of autologous pediculated pericardium to bridge inferior vena cava to main pulmonary artery. Eur J Cardiothorac Surg 1992;6:49-51.[Abstract]
   

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