Abstract
For many years, complex congenital cardiac lesions such as pulmonary atresia, tricuspid atresia, and truncus arteriosus, could be palliated but not corrected. In 1965, Rastelli and associates [1] reported the establishment of continuity between the light ventricle and the pulmonary artery using pericardial tube. In 1966, Ross and Somerville[2] described the repair of pulmonary atresia using a valve containing aortic homograft. This conduit was initially sterilized with irradiation but long term follow-up indicated late calcification of the homograft frequently resulting in stenosis and requiring reoperation. In 1973 [3] use of a dacron conduit containing a gluteraldehyde preserved porcine valve was described and became commercially available in a variety of sizes solving the logistical problems of homograft procurement.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Rastelli GC, Ongley PA, David GD, et al: Surgical repair for pulmonary valve atresia with coronary artery fistula: Report of a case. Mayo Clin Proc 40: 521–527, 1965.
Ross DN, Sommerville J: Correction of pulmonary atresia with a homograft aortic valve. Lancet 2: 1446–1447, 1966.
Bowman FO, Hancock WD, Malm JR: A valve-containing dacron prosthesis. Arch Surg 107: 724–728, 1973.
McGoon DC, Rastelli GC, and Ongley PA: An operation for the correction of truncus arteriousus. JAMA 250:69, 1968.
Rastelli GC: A new approach to “anatomic” repair of transposition of the great arteries: Mayo Clin Proc 44: 1–12, 1969.
Fontan F, Baudent E. Surgical repair of tricuspid atresia. Thorax 26: 240–248, 1971.
Bernhard WF, Poirier V, La Farge GC: Relief of congenital obstruction to left ventricular outflow with a ventricular aortic prosthesis. J Thorac Cardiovasc Surg 69: 223, 1975.
Laks H, Hellenbrand WE, Kleinman t and Talner NS: Left atrialleft ventricular conduit for relief of congenital mitral stenosis in infancy. J Thorac Cardiovasc Surg 80 (5): 782–787, 1980.
Hellenbrand WE, Laks H, K’einman CS, et al: Hemodynamic evaluation after reconstruction of the right ventricular outflow tract with a porcine valve prosthesis. Circulation, 60 Suppl 11: 169, 1979.
McGoon DC, Danielson GK, Puga FJ, Ritter DG, Mair DD, Ilstrup DM: Late results after extracardiac conduit repair for congenital cardiac defects. Am J Cardiol 49: 1741–1749, 1982.
Stewart S, Manning J, Alexson C, et al: The hancock external valved conduit: A dichotomy between late clinical results and late cardiac catheterization findings. J Thorac Cardiovasc Surg 86: 563–569, 1983.
Agarwal KC, Edwards WD, Feldt RH, Danielson GK, Puga FJ, McGoon DC: Pathogenesis of nonobstructive right-sided porcine-valved extracardiac conduits. J Thorac Cardiovasc Surg 81: 591–601, 1981.
Ross DN, Sommerville J: Proceedings, of the British Cardiac Society: Homograft reconstruction of right ventricular outflow tract in pulmonary atresia — late results. Br Heart J 38: 316, 1976.
Fiore AS, Peigh PS, Robison RJ, et al: Valved arid nonvalved right ventricular-pulmonary arterial extra- cardiac conduits: an experimental comparison. J Thorac Cardiovasc Surg 86: 490–497, 1983.
Piehier JM, Danielson GK, McGoon DC, et al: Management of pulmonary atresia with ventricular septal defect and hypoplastic pulmonary arteries by right ventricular outflow construction. J Thorac Cardiovasc Surg 80: 552, 1980.
Haworth SG, Rees RP, Taylor JFN, et al: Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries. Effect of systemic pulmonary anastomosis. Br Heart J 45: 133, 1981.
McGoon DC, Maird DK, Davis GD: Surgical management of large bronchial collateral arteries with pulmonary stenosis, and atresia. Circulation 52: 109, 1975.
Rastelli GC: A new approach to “anatomic” repair of transposition of the great arteries. Mayo Clin Proc 44: 1–12, 1969.
Nicks R, Cartmill T, Bernstein L: Hypoplasia of the aortic root: The problem of aortic valve replacement. Thorax 25: 339, 1970.
Konno S, Imai Y, Lida Y, et al: A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thorac Cardiovasc Surg 70: 909, 1976.
Templeton JY III: Personal communication.
Laks H, Hellenbrand WE, Stansel HC, Kleinman CS, Lister G, and Talner NS: Repair of complex congenital cardiac defects with the valved conduit. Surg Clin North Am 60 (5): 1225–1237, 1980.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Science Press, Beijing and Martinus Nijhoff Publishers, Dordrecht
About this chapter
Cite this chapter
Laks, H. (1986). Use of Valved Conduits to Repair Complex Congenital Heart Defects. In: Wu, Y., Peters, R.M. (eds) International Practice in Cardiothoracic Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4259-2_66
Download citation
DOI: https://doi.org/10.1007/978-94-009-4259-2_66
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-8391-1
Online ISBN: 978-94-009-4259-2
eBook Packages: Springer Book Archive