A technique for correction of truncus arteriosus types I and II without extracardiac conduits

Barbero-Marcial, Miguel; Riso, Arlindo; Atik, Edmar; Jatene, Adib

doi:10.1016/s0022-5223(19)37024-2

Cited by 109 publications

(39 citation statements)

References 7 publications

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“…The benefit of preserving the pulmonary artery architecture is a concept described for nearly 20 years. 1 However, unlike previous reports, our repair maintains the branch pulmonary arteries within their native position and provides a competent valve in the pulmonary position. 1,2 Maintenance of the branch pulmonary arteries in situ prevents distal anastomotic tension, as well as the development of branch pulmonary artery stenosis.…”

Section: Resultsmentioning

confidence: 80%

“…1 However, unlike previous reports, our repair maintains the branch pulmonary arteries within their native position and provides a competent valve in the pulmonary position. 1,2 Maintenance of the branch pulmonary arteries in situ prevents distal anastomotic tension, as well as the development of branch pulmonary artery stenosis. Although it has been reported that the use of an aortic homograft in the pulmonary position is inferior to a pulmonary homograft, 3 this data are primarily based on patients with tetrology of Fallot and other right ventricular outflow tract obstructions.…”

Section: Resultsmentioning

confidence: 80%

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Technique for the Repair of Truncus Arteriosus to Maintain Pulmonary Artery Architecture

Alfieris

Swartz

2011

Operative Techniques in Thoracic and Cardiovascular Surgery

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Section: Resultsmentioning

confidence: 80%

Section: Resultsmentioning

confidence: 80%

Technique for the Repair of Truncus Arteriosus to Maintain Pulmonary Artery Architecture

Alfieris

Swartz

2011

Operative Techniques in Thoracic and Cardiovascular Surgery

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“…Most RVOT repairs included a conduit in 96 patients (81%) or prosthetic valve in 14 (12%), but a small cohort underwent direct connection of the RV to the pulmonary arteries. [13][14] The median conduit diameter at the time of surgical implant was 22 mm (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). In 6 patients, the size of the conduit was unknown.…”

Section: Resultsmentioning

confidence: 99%

Aortic Root Distortion and Aortic Insufficiency During Balloon Angioplasty of the Right Ventricular Outflow Tract Prior to Transcatheter Pulmonary Valve Replacement

Torres

McElhinney

Anderson

et al. 2016

J Interven Cardiology

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Objective To describe the significance of aortic root distortion (AD) and/or aortic valve insufficiency (AI) during balloon angioplasty of the right ventricular outflow tract (RVOT) performed to rule out coronary artery compression prior to transcatheter pulmonary valve (TPV) implantation. Methods AD/AI were assessed by retrospective review of all procedural aortographies performed to evaluate coronary anatomy prior to TPV implantation. AD/AI was also reviewed in all pre-post MPV implant echocardiograms to assess for progression. Results From 04/2007 to 3/2015, 118pts underwent catheterization with intent for TPV implant. Mean age and weight were 24.5 ± 12 years and 64.3 ± 20 kg respectively. Diagnoses were: TOF (53%), D-TGA/DORV (18%), s/p Ross (15%), and Truncus (9%). Types of RV-PA connections were: conduits (96), bioprosthetic valves (14), and other (7). Successful TPV implant occurred in 91pts (77%). RVOT balloon angioplasty was performed in 43/118pts (36%). Aortography was performed in 18/43pts with AD/AI noted in 6/18 (33%); two with D-TGA (1 s/p Lecompte, 1 s/p Rastelli), 2 with TOF, 1 Truncus and 1 s/p Ross. Procedure was aborted in the 2 who developed severe AD/AI. TPV was implanted in 3/4 pts with mild AD/AI. Review of pre-post TPV implantation echocardiograms in 83/91pts (91%) revealed no new/worsened AI in any pt. Conclusion AD/AI is relatively common on aortography during simultaneous RVOT balloon angioplasty. Lack of AI progression by echocardiography post-TPV implant suggests these may be benign findings in most cases. However, AD/AI should be carefully evaluated in certain anatomic subtypes with close RVOT/aortic alignments.

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“…Foram estudadas 7 próteses (2,3,4,6,7,10,12), recuperadas no período de 90 a 205 dias (média 161) de implante.…”

Section: Estudo Histológico E Histoquímico Das Próteses Recuperadasunclassified

Reconstituição da valva pulmonar e via de saída do ventrículo direito, com prótese bivalvular e prótese tubular valvada de tronco pulmonar de porco: estudo experimental e aplicação clínica

Maluf

Verde²,

Leal³

et al. 1993

Rev Bras Cir Cardiovasc

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A technique for correction of truncus arteriosus types I and II without extracardiac conduits

Cited by 109 publications

References 7 publications

Technique for the Repair of Truncus Arteriosus to Maintain Pulmonary Artery Architecture

Technique for the Repair of Truncus Arteriosus to Maintain Pulmonary Artery Architecture

Aortic Root Distortion and Aortic Insufficiency During Balloon Angioplasty of the Right Ventricular Outflow Tract Prior to Transcatheter Pulmonary Valve Replacement

Reconstituição da valva pulmonar e via de saída do ventrículo direito, com prótese bivalvular e prótese tubular valvada de tronco pulmonar de porco: estudo experimental e aplicação clínica

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