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Semin. Thorac. Cardiovasc. Surg. · Jul 1995
Valved conduits of bovine pericardium for right ventricle to pulmonary artery connections.
- M Barbero-Marcial, J A Baucia, and A Jatene.
- University of São Paulo Medical School, Heart Institute, Brazil.
- Semin. Thorac. Cardiovasc. Surg. 1995 Jul 1; 7 (3): 148-53.
AbstractBetween February 1991 and October 1994, 29 patients received right heart bovine pericardial valved conduits. Patients' ages ranged from 19 days to 18 years (mean 3.5 years), with 8 patients younger than 1 year of age. Ten patients had truncus arteriosus type II or III, 7 had pulmonary atresia with ventricular septal defect (VSD), 6 had transposition of the great arteries and pulmonary stenosis (PS), 3 had corrected transposition with VSD and PS, 2 had double-outlet right ventricle, and 1 had aortic atresia with normal left ventricle and VSD. Two hospital deaths (6.9%) occurred, but no late deaths. The postoperative serial echocardiographic studies showed a mean transconduit gradient of 16 mm Hg with a range of 2 to 37 mm Hg. All patients are in functional class I. Although the intermediate results are satisfactory, considering the late complications known from others conduits, long-term follow-up is necessary.
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