Allograft conduit for Fontan procedure

  • G. Fernandez
  • C. Deville
  • A. Ebner
  • Ch. Doutremepuich
  • F. Fontan
Conference paper


The use of an extracardiac conduit in the treatment of complex congenital heart disease was first reported by Rastelli in 1965 (1) and by Ross and Somerville in 1966 (2) with an aortic valve allograft. Irradiated aortic allografts were abandoned early (3, 4). The use of a conduit containing a porcine aortic valve was first reported by Planche (5), but late complications in some series (6, 7) led to the discontinuation of their use. If non-valved conduits and direct cardiopulmonary anastomosis, first described by Lillehei (8), are often advocated, the use of aortic valve allografts is frequently favored by several groups: Shabbo (9) and Radley-Smith (10).


Aortic Valve Atrial Pressure Inlet Valve Pulmonary Vascular Disease Tricuspid Atresia 
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  1. 1.
    Rastelli GC, Ongley PA, Davis GD, Kirklin JW (1965) Surgical repair for pulmonary valve atresia with coronary pulmonary artery fistula. Report of case. Mayo Clin Proc 40: 521PubMedGoogle Scholar
  2. 2.
    Ross DN, Somerville J (1966) Correction of pulmonary atresia with a homograft aortic valve. Lancet 2: 1446PubMedCrossRefGoogle Scholar
  3. 3.
    Park SC, Neches WH, Lenox CC, Zuberbumler JR, Bahnson HT (1973) Massive calcification and obstruction in a homograft after the Rastelli procedure for transposition of the great arteries. Am J Cardiol 32: 860–864PubMedCrossRefGoogle Scholar
  4. 4.
    Moodie DS, Mair DD, Fulton RE, Wallace RB, Danielson GK, McGoon DC (1976) Aortic homograft obstruction. J Thorac Cardiovasc Surg 72: 553–561PubMedGoogle Scholar
  5. 5.
    Planche C, Binet JP, Langlois J, Conso JF (1972) Reconstruction de la voie d’éjection du ventricule droit à l’aide de tubes valves. Nouv. Presse Méd. 1: 541PubMedGoogle Scholar
  6. 6.
    Norwood WI, Freed MD, Rocchini AP, Bernhard WF, Castagneda AR (1977) Experience with valved conduits for repair of congenital cardiac lesions. Ann Thorac Surg 24: 223PubMedCrossRefGoogle Scholar
  7. 7.
    Bailey WW, Kirklin JW, Bargeron LM, Pacifico HD, Kouchoukos NT (1977) Late results with synthetic valved external conduits from venous ventricle to pulmonary arteries. Circulation 56, Suppl. 2: 73Google Scholar
  8. 8.
    Lillehei CW, Cohen M, Warden HE, Read RC, Aust JB, Dewer RA, Varco RL (1955) Direct vision inracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot and pulmonary atresia defects: Report of first ten cases. Ann Surg 142: 418PubMedCrossRefGoogle Scholar
  9. 9.
    Shabbo FP, Wain WH, Ross DN (1980) Right ventricular outflow tract reconstruction with aortic homograft conduit: analysis of long-term results. Thorac Cardiovasc Surg 28: 21–25PubMedCrossRefGoogle Scholar
  10. 10.
    Radley-Smith RIC, Yacoub M (1980) The late results of reconstruction of the right ventricular outflow tract using a complete aortic homograft. Congress of the European Society of Cardiology, Paris, FranceGoogle Scholar
  11. 11.
    Fontan F, Choussat A, Deville C, Doutremepuich C, Coupillaud J, Vosa C (1984) Aortic valve homografts in the surgical treatment of complex cardiac malformations. J Thorac Cardiovasc Surg 87, 5: 649PubMedGoogle Scholar
  12. 12.
    Fontan F, Mounicot FB, Baudet E, Simonneau J, Gordo J, Gouffrant JM (1971) Correction de Fatrésie tricuspidienne, rapport de 2 cas corrigés par l’utilisation d’une technique chirurgicale nouvelle. Ann Chir Thorac Cardiovasc 10: 39PubMedGoogle Scholar
  13. 13.
    Fontan F, Baudet E (1971) Surgical repair of tricuspid atresia. Thorax 26: 240PubMedCrossRefGoogle Scholar
  14. 14.
    McGoon DC, Danielson GK, Puga FJ, Ritter DG, Mair DD, Ilstrup DM (1982) Late results after extracardiac conduit repair for congenital cardiac defects. Am J Cardiol 49: 1741–1749PubMedCrossRefGoogle Scholar
  15. 15.
    Tatooles CJ, Ardekani RG, Miller RA, Seratto M (1976) Operative repair for tricuspid atresia. Ann Thorac Surg 21, 6: 499PubMedCrossRefGoogle Scholar
  16. 16.
    Bull C, McCartney FJ, Horvath P, Almeida R, Merril W, Douglas J, Taylor JFN, de Levai MR, Stark J (1987) Evaluation of long term results of homograft and heterograft valves in extracadiac conduit. J Thorac Cardiovasc Surg 94: 12–9PubMedGoogle Scholar
  17. 17.
    Ciaravella JM, McGoon DC, Danielson GK, Wallace RB, Mair DD (1979) Experience with extracardiac conduits. J Thorac Cardiovasc Surg 78, 6: 920PubMedGoogle Scholar
  18. 18.
    Castaneda AR, Norwood W (1982) Valved conduits, a panacea for complex congenital heart defects? In: Cohn LH, Galluci V (eds) Cardiac bioprosthesis. Proceeding of the 2nd International Symposium. Yorke Medica Books, New YorkGoogle Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt 1988

Authors and Affiliations

  • G. Fernandez
    • 1
  • C. Deville
    • 1
  • A. Ebner
    • 1
  • Ch. Doutremepuich
    • 1
  • F. Fontan
    • 2
  1. 1.Clinique Chirurgicale des Maladies Cardiaques Hôpital Cardiologique du Haut-LévêquePessac-BordeauxFrance
  2. 2.Clinique Chirurgicale des Maladies CardiaquesHôpital Cardiologique du Haut-LévêquePessac-BordeauxFrance

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