Document Detail

Clinical and hemodynamic results of extracardiac conduit reconstruction of the pulmonary artery.
MedLine Citation:
PMID:  7379375     Owner:  NLM     Status:  MEDLINE    
To evaluate the efficacy of pulmonary artery construction with a prosthetic conduit we have reviewed 25 operations in 22 of our patients. Early mortality was 12.0%, late mortality 5.3%. Up to 13 years postoperatively, 93.8% of the survivors are asymptomatic. Of 12 patients surviving more than 1 year, 11 have been catheterized after 1-11 years. Five had prior aortopulmonary shunts (mean duration 7.3 years); highest postrepair pulmonary artery pressure was 40 mmHg. Of seven recatheterized xenograft conduits, none had severe and four had mild obstruction. Reconstruction of pulmonary artery with xenograft conduit produced good clinical results. Long duration of aortopulmonary shunt prior to repair did not result in severe pulmonary artery hypertension. Obstruction of xenograft conduit has not been a major problem in our patients, but when necessary, reoperation for obstruction can be carried out safely as late as 11 years after the operation.
S Clarkson; R M Sade; A Hohn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  3     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1980  
Date Detail:
Created Date:  1980-08-15     Completed Date:  1980-08-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  42-6     Citation Subset:  IM    
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MeSH Terms
Bioprosthesis / mortality*
Child, Preschool
Heart Defects, Congenital / surgery*
Heart Valve Prosthesis / mortality*
Pulmonary Artery / surgery*

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