Document Detail

Options for right ventricular outflow tract reconstruction.
MedLine Citation:
PMID:  10193988     Owner:  NLM     Status:  MEDLINE    
The popularity of the Ross operation has drawn attention to the need for a satisfactory replacement of the excised pulmonary valve and artery. Although living autogenous tissue is desirable, it has not been possible to manufacture a satisfactory living conduit, and pulmonary homografts have provided a satisfactory long-term solution. Now, with the increasing shortage of homografts, a number of alternative options have to be considered. The most useful and readily acceptable replacement is a porcine pulmonary xenograft, which is now commercially available. Other prospects for future consideration relate to the use of transgenic pig tissue and developing techniques of tissue engineering. In emergency conditions where a valve conduit is unavailable, a temporary solution is to use a simple tube of autogenous pericardium.
D N Ross
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  13     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1998 May 
Date Detail:
Created Date:  1999-06-16     Completed Date:  1999-06-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  186-9     Citation Subset:  IM    
Harley Street Clinic, London, United Kingdom.
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MeSH Terms
Blood Vessel Prosthesis Implantation / methods
Cardiac Surgical Procedures / methods*
Heart Valve Diseases / surgery*
Heart Valve Prosthesis Implantation / methods
Pulmonary Artery / surgery
Pulmonary Valve / transplantation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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