Replacement of Obstructed Right Ventricle to Pulmonary Artery Conduits: The Modified Peel Operation

Cervantes-Salazar, Jorge; Flores-Sarria, Iris P.; Ortega-Zhindón, Diego B; Calderón‐Colmenero, Juan; Benita-Bordes, Antonio; Martínez-Guerrero, Josue

doi:10.1177/21501351231157587

Cited by 1 publication

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References 5 publications

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“…In patients with extremely calcified xenograft conduits (but also in those with circumferentially calcified homografts), the peel technique is a valuable option that consists of preserving the sides and posterior half of the previously placed conduit while a prosthetic roof is placed over the conduit remnant. Cervantes-Salazar et al found this technique safe and easy to teach residents (25).…”

Section: Xenograft Pericardial Conduitsmentioning

confidence: 97%

Past, present, and future options for right ventricular outflow tract reconstruction

Carrel

2023

Front. Surg.

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The pulmonary valve is the most frequently replaced cardiac valve in congenital heart diseases. Whether the valve alone or part of the right ventricular outflow tract have to be repaired or replaced depends on the specific pathological anatomy of the malformation. Once the decision to replace the pulmonary valve has been made, two options are available: the isolated transcatheter pulmonary valve replacement and the surgical implantation of a prosthetic valve either isolated or in combination with a procedure on the right ventricular outflow tract. In this paper, we will focus on the different past and present surgical options and present a new concept called “endogenous tissue restoration,” a promising alternative to the hitherto existing implants. From a general point of view, neither the transcatheter nor the surgical valvular implants are magic bullets in the arsenal for the management of valvular diseases. Smaller valves have to be frequently replaced because of outgrowth of the patients, larger tissue valves may present late structural valve deterioration, while xenograft and homograft conduits may calcify and therefore become narrowed within unpredictable incidence and interval following implantation. Based on long-term research efforts combining the knowledge of supramolecular chemistry, electrospinning, and regenerative medicine, endogenous tissue restoration has emerged most recently as a promising option to create long-term functioning implants. This technology is appealing because following resorption of the polymer scaffold and timely replacement through autologous tissue, no foreign material remain at all in the cardiovascular system. Proof-of-concept studies as well as small first-in-man series have been completed and have demonstrated favorable anatomic and hemodynamic results, comparable to currently available implants in the short term. Based on the initial experience, important modifications to improve the pulmonary valve function have been initiated.

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Section: Xenograft Pericardial Conduitsmentioning

confidence: 97%

Past, present, and future options for right ventricular outflow tract reconstruction

Carrel

2023

Front. Surg.

View full text Add to dashboard Cite

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Replacement of Obstructed Right Ventricle to Pulmonary Artery Conduits: The Modified Peel Operation

Cited by 1 publication

References 5 publications

Past, present, and future options for right ventricular outflow tract reconstruction

Past, present, and future options for right ventricular outflow tract reconstruction

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