Document Detail

Extracardiac conduit replacement with autologous tissue only, via a left anterior small thoracotomy.
MedLine Citation:
PMID:  10522796     Owner:  NLM     Status:  MEDLINE    
A 13-year-old boy, who had undergone a Rastelli procedure 8 years before, developed severe extracardiac conduit stenosis and infectious endocarditis. Sternal re-entry appeared to be dangerous and to require extensive adhesiolysis. Through a left anterior small thoracotomy, however, good exposure was obtained and the operation was performed safely and much less invasively. The main pulmonary artery was reconstructed with autologous tissues only, i.e. fibrous tissue bed and broadly based pericardial pedicle. There was no residual stenosis. The patient convalesced rapidly.
K Imanaka; S Takamoto; Y Kaneko; A Murakami; K Shibuya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  47     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-11-16     Completed Date:  1999-11-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  251-2     Citation Subset:  IM    
Department of Cardiothoracic Surgery, University of Tokyo, Japan.
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MeSH Terms
Blood Vessel Prosthesis Implantation*
Constriction, Pathologic
Endocarditis, Bacterial / surgery*
Graft Occlusion, Vascular / surgery*
Pulmonary Artery / surgery*

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