Document Detail


Pericardial collar modification for Ross procedure.
MedLine Citation:
PMID:  12704334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although the surgical technique of the Ross operation has been improved over the years, there are still some technical difficulties: (1) The possibility of damage to first septal artery during harvesting and reconstruction of right ventricular outflow tract (RVOT). (2) Weak posterior anastomotic area during RVOT reconstruction. (3) Persistent bleeding from septal dissection site of pulmonary autograft. To deal with these difficulties, we used a 1-cm wide pericardial strip (pericardial collar) which was sutured to epicardium at the posterior and septal edge of the RVOT. The conduit used for the reconstruction of pulmonary outflow was then sutured to this pericardial strip at the posterior part of the anastomosis. We found this technique very useful to create a safe and strong margin for the posterior suture line. Persistent bleeding from septal dissection site can be also avoided using this modification by diverting the bleeding site into the right ventricular cavity.
Authors:
T Sarioglu; E Erek; Y K Yalçinbas; E Salihoğlu; A Sarioglu; S Tekin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  11     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-04-21     Completed Date:  2003-11-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  229-30     Citation Subset:  IM    
Affiliation:
Istanbul Memorial Medical Center, Okmeydaniota, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Bypass
Heart Arrest, Induced
Heart Defects, Congenital / surgery*
Humans
Pericardium
Pulmonary Artery / surgery*
Sutures
Transplantation, Autologous

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


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