The Surgical Therapy for Pulmonary Artery—Right Ventricular Discontinuity

Behrendt, Douglas M.; Kirsh, Marvin M.; Stern, Aaron; Sigmann, Joan M.; Perry, Burton L.; Sloan, Herbert

doi:10.1016/s0003-4975(10)64337-8

Cited by 41 publications

(6 citation statements)

References 21 publications

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“…The first successful intracardiac repair was performed by Herbert Sloan at the University of Michigan in 1962 using a nonvalved Teflon conduit. 13 The first report of truncus arteriosus repair using a valved conduit was by McGoon, Rastelli, and Ongley in 1968. 14 Rastelli's idea and research led to the repair of other disease entities such as transposition of the great arteries, ventricular septal defects, pulmonary stenosis, and ventricular septal defect with pulmonary atresia.…”

Section: Historical Accountsmentioning

confidence: 99%

“…A few years later in 1974, Dr Douglas Behrendt and colleagues reported their experience (University of Michigan) 13 with RV to PA nonvalved cloth conduits and homografts in a heterogeneous group of 14 patients. Imbedded in the 1974 report was the still surviving patient with truncus arteriosus in whom Dr Herbert Sloan performed the first complete repair of truncus arteriosus in 1963, thereby accomplishing the first reported complete repair of truncus arteriosus.…”

Section: Historical Accountsmentioning

confidence: 99%

“…At the University of Michigan, the history of successful correction of this lesion dates back even earlier when Herbert Sloan successfully repaired a newborn with truncus arteriosus utilizing a nonvalved conduit in 1962, the first successful repair of this kind ever reported. 13 Aware of this history, I began a protocol of primary early repair for many types of congenital heart disease when I arrived in Ann Arbor in 1985. Following Dr Ebert's contribution, the policy back then was to delay repair in babies with truncus until they were at least a few months of age, but it soon became clear that we were losing a number of these patients while waiting for them to get older.…”

Section: The Michigan Experience Partmentioning

confidence: 99%

“…Augmenting the entire ascending aorta as one continuous structure, similar to the way we were doing the arch in HLHS, not only simplified the operation but also removed any potential systemic outflow tract obstruction following repair (Figures 10-12). 13,23,24 We were proud to report in 1993 that IAA was no longer a risk factor for the repair of truncus arteriosus. 24…”

Section: The Michigan Experience Partmentioning

confidence: 99%

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Personal Glimpses Into the Evolution of Truncus Arteriosus Repair

Mavroudis

Jonas

Bove

2015

World J Pediatr Congenit Heart Surg

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Truncus arteriosus (common arterial trunk) is an uncommon but complex congenital heart anomaly. Until the early 1970s, typically, patients died between the age of a few weeks to six months. Congestive heart failure owing to large pulmonary blood flow and truncal valve regurgitation was the major cause of death until innovative surgical techniques were discovered. In 1963, Herbert Sloan at the University of Michigan completed the first repair using a nonvalved conduit with long-term survival (not reported until 1974). At the Mayo Clinic, Rastelli and McGoon studied and completed the first repair with a valved homograft in 1967. In 1976, Ebert used the 12-mm Hancock valved conduit in infants under six months of age (University of California, San Francisco). In Boston (mid-1980s), Jonas and Castañeda used aortic homografts, which greatly reduced bleeding as a postoperative complication. In the early 1990s, Bove (University of Michigan) reported outstanding results with an approach based on primary repair within the first few days of life for patients with truncus arteriosus. Improved prognosis for patients with truncus arteriosus resulted from these corrective operations by analyzing the natural history of this condition while applying innovative ideas, improved technology, and perioperative care.

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Section: Historical Accountsmentioning

confidence: 99%

Section: Historical Accountsmentioning

confidence: 99%

Section: The Michigan Experience Partmentioning

confidence: 99%

Section: The Michigan Experience Partmentioning

confidence: 99%

See 2 more Smart Citations

Personal Glimpses Into the Evolution of Truncus Arteriosus Repair

Mavroudis

Jonas

Bove

2015

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

show abstract

“…Since the first successful intracardiac repair for truncus arteriosus (TA) described by Behrendt and colleagues, 1 surgical management for patients with TA has considerably improved. 2 Reported survival is as high as 95% at 15 years in some series and was similar irrespective of the timing of surgery for all children aged less than 1 year.…”

mentioning

confidence: 99%