Document Detail


Modified repair of truncus arteriosus to maintain pulmonary artery architecture.
MedLine Citation:
PMID:  20732552     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neonatal surgical repair for truncus arteriosus historically involves removing the pulmonary arteries from the truncal root, closing the ventricular septal defect, and creating right ventricular to pulmonary artery continuity. Unfortunately, early reintervention is frequently required for conduit failure and proximal branch pulmonary artery stenosis. We present a technique that preserves the pulmonary artery architecture, keeping the pulmonary arteries in their native position. This technique has been applied to 16 patients and appears to decrease proximal branch pulmonary artery stenosis, thereby extending conduit longevity and increasing the freedom from early reintervention.
Authors:
George M Alfieris; James J Gangemi; Mathew P Schiralli; Michael F Swartz; Jill M Cholette
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1038-9     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, University of Rochester, Strong Memorial Hospital, Rochester, New York 14582, USA. george_alfieris@rochester.urmc.edu
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures / methods
Follow-Up Studies
Humans
Pulmonary Artery*
Truncus Arteriosus, Persistent / surgery*

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