Double-homograft Repair of Truncus Arteriosus with Severe Truncal Valve Dysfunction

Conte, Stefano; Jensen, Tim; Jacobsen, J R; Larsen, Bo; Helvind, Morten; Lauridsen, P; Pettersson, Gösta

doi:10.3109/14017439709041756

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…The homograft conduit is now reserved for use in extreme circumstances in which severe valve insufficiency prevents postoperative weaning from inotropes and ventilation, and, unsurprisingly, the results are less than satisfactory [29,30].…”

Section: Tv Repairmentioning

confidence: 98%

Common arterial trunk: review of surgical strategies and future research

Siena

Ghorbel

Chen

et al. 2011

Expert Review of Cardiovascular Therapy

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Common arterial trunk is a congenital malformation that is relatively uncommon, representing 0.21-0.34% of congenital heart disease. Natural history, if not treated, leads to early death. Cardiac surgery has been modifying its natural course during the last 30 years by prolonging the lifespan of patients affected. Despite surgical mortality improvements over the last 10 years, morbidity still remains high, mainly due to the age of the patient, associated heart lesions, the evolution of truncal valve function and the type of conduit used for pulmonary artery reconstruction. Common arterial trunk disease still represents a significant challenge for cardiac surgeons and cardiologists regarding attempts to improve long-term outcomes and quality of life. Promising results may be achieved in the next 5 years by the tissue valve-engineering technology applied to search for the ideal conduit on the right ventricular outflow tract. This research has already started in many centers in order to reduce several unavoidable reinterventions nowadays. In this review, we will comment on the situation, focusing on the latest surgical innovations of the last 5 years.

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Section: Tv Repairmentioning

confidence: 98%

Common arterial trunk: review of surgical strategies and future research

Siena

Ghorbel

Chen

et al. 2011

Expert Review of Cardiovascular Therapy

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“…Six patients underwent complete surgical repair. This included five truncal root replacement with an aortic homograft, 9,10 and one truncal valvotomy 3 . The current case underwent truncal root replacement with an aortic homograft and construction of a central systemic to pulmonary artery shunt.…”

Section: Discussionmentioning

confidence: 97%

Severe Truncal Valve Stenosis: Diagnosis and Management

et al. 2005

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Severe truncal valve stenosis, due to dysplastic valve, may be found in a small number of patients with truncus arteriosus. Its presence complicates the surgical management of this anomaly due to lack of optimal therapeutic options and associated ventricular dysfunction. We report a case of truncal root replacement using a homograft for the management of such condition, and review the literature related to its management and outcome.

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Truncus Arteriosus

Mavroudis

Backer

2012

Pediatric Cardiac Surgery

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Double-homograft Repair of Truncus Arteriosus with Severe Truncal Valve Dysfunction

Cited by 4 publications

References 9 publications

Common arterial trunk: review of surgical strategies and future research

Common arterial trunk: review of surgical strategies and future research

Severe Truncal Valve Stenosis: Diagnosis and Management

Truncus Arteriosus

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