| Pericardial monocusp for pulmonary valve reconstruction: a new technique. | |
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MedLine Citation:
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PMID: 20519298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Enhancing the pulmonary annulus renders the pulmonary valve incompetent in cases of tetralogy of Fallot. A pressure-loaded right ventricle may change to a volume-loaded ventricle, which may dilate and eventually dysfunction. This study evaluated a new technique of fashioning a monocusp valve from untreated autologous pericardium suspended on a transannular patch. It was assessed in 40 children undergoing complete repair of tetralogy of Fallot between January 2005 and December 2007. 24 patients had a transannular patch alone (group A) and 16 received a transannular patch with the autologous pericardial monocusp valve (group B). All patients were followed up for 1 year with transthoracic echocardiography to determine pulmonary insufficiency. There was no significant difference in cardiopulmonary bypass or aortic crossclamp times, postoperative chest tube drainage, duration of inotropic usage, intensive care unit or hospital stay between groups. Univariate analysis showed significantly lower grades of pulmonary insufficiency in group B. This technique for creating an autologous pericardial monocusp valve is an inexpensive, simple, and reliable procedure that effectively reduces pulmonary insufficiency at the 1-year follow-up. |
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Authors:
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Shantanu Pande; Surendra K Agarwal; Gauranga Majumdar; Bipin Chandra; Prabhat Tewari; Sudeep Kumar |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Asian cardiovascular & thoracic annals Volume: 18 ISSN: 1816-5370 ISO Abbreviation: Asian Cardiovasc Thorac Ann Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-03 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9503417 Medline TA: Asian Cardiovasc Thorac Ann Country: Singapore |
Other Details:
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Languages: eng Pagination: 279-84 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular and Thoracic Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. spande@sgpgi.ac.in |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Bioprosthesis* Child Child, Preschool Heart Valve Prosthesis* Heart Valve Prosthesis Implantation / adverse effects, instrumentation* Humans Infant Logistic Models Magnetic Resonance Angiography Pericardium / transplantation* Prosthesis Design Pulmonary Valve / surgery*, ultrasonography Pulmonary Valve Insufficiency / diagnosis, etiology, prevention & control* Risk Assessment Risk Factors Tetralogy of Fallot / complications, diagnosis, surgery* Transplantation, Autologous Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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