Use of the Medtronic Freestyle valve as a right ventricular to pulmonary artery conduit.

作者: Richard B Chard , Nicholas Kang , David R Andrews , Graham R Nunn

DOI: 10.1016/S0003-4975(01)02491-2

关键词: Persistent truncus arteriosusRegurgitation (circulation)ProsthesisEndocarditisInternal medicinePulmonary valvePulmonary hypertensionPulmonary arteryCardiologyComplicationSurgeryMedicine

摘要: Abstract Background . We have used the Medtronic Freestyle bioprosthesis as a right ventricular to pulmonary artery conduit recently in an attempt overcome some of problems associated with homografts and stented xenografts. The aim this study was review performance prosthesis. Methods Prospectively collected data for patients having bioprostheses implanted were reviewed assess clinical outcome echocardiographic results. Results Thirteen aged 13 days 22.5 years (median, 7.9 years) underwent either primary repair (n = 5) or change 8) using bioprosthesis. One neonate truncus arteriosus died postoperatively hypertension. explanted 27 months after neonatal arteriosus. There has been no incidence significant prosthetic regurgitation, thromboembolism, endocarditis at mean follow-up 10.1 (range, 2 weeks 29 months). Conclusions valve is reliable substitute short term. Early results justify continued use device setting close follow-up.

参考文章(16)
Khaghani A, Melina G, Rubens Mb, Bizzarri F, Birks Ej, Yacoub Mh, A quantitative study of calcium deposition in the aortic wall following Medtronic Freestyle compared with homograft aortic root replacement. A prospective randomized trial. Journal of Heart Valve Disease. ,vol. 9, pp. 97- 103 ,(2000)
J. Stark, C. Bull, M. Stajevic, M. Jothi, M. Elliott, M. de Leval, Fate Of Subpulmonary Homograft Conduits: Determinants Of Latehomograft Failure The Journal of Thoracic and Cardiovascular Surgery. ,vol. 115, pp. 506- 516 ,(1998) , 10.1016/S0022-5223(98)70312-5
P J Fitzgerald, F G St Goar, A J Connolly, F J Pinto, M E Billingham, R L Popp, P G Yock, Intravascular ultrasound imaging of coronary arteries. Is three layers the norm Circulation. ,vol. 86, pp. 154- 158 ,(1991) , 10.1161/01.CIR.86.1.154
George S. Bisset, David C. Schwartz, George Benzing, James Helmsworth, J. Tracy Schreiber, Samuel Kaplan, Late results of reconstruction of the right ventricular outflow tract with porcine xenografts in children. The Annals of Thoracic Surgery. ,vol. 31, pp. 437- 443 ,(1981) , 10.1016/S0003-4975(10)60998-8
Frederick O. Bowman, A Valve-Containing Dacron Prosthesis Archives of Surgery. ,vol. 107, pp. 724- 728 ,(1973) , 10.1001/ARCHSURG.1973.01350230076015
Ko Bando, Gordon K. Danielson, Hartzell V. Schaff, Douglas D. Mair, Paul R. Julsrud, Francisco J. Puga, OUTCOME OF PULMONARY AND AORTIC HOMOGRAFTS FOR RIGHT VENTRICULAR OUTFLOW TRACT RECONSTRUCTION The Journal of Thoracic and Cardiovascular Surgery. ,vol. 109, pp. 509- 518 ,(1995) , 10.1016/S0022-5223(95)70282-2
Paul H Schoof, Mark G Hazekamp, Han H van Krieken, Hans A Huysmans, Pulmonary Root Replacement With the Freestyle Stentless Aortic Xenograft in Growing Pigs The Annals of Thoracic Surgery. ,vol. 65, pp. 1726- 1729 ,(1998) , 10.1016/S0003-4975(98)00263-X
K Schorn, A.C Yankah, V Alexi-Meskhishvili, Y Weng, P.E Lange, R Hetzer, Risk factors for early degeneration of allografts in pulmonary circulation. European Journal of Cardio-Thoracic Surgery. ,vol. 11, pp. 62- 69 ,(1997) , 10.1016/S1010-7940(96)01003-2
Konertz W, Borges A, Baumann G, Sidiropoulos A, Hotz H, Ross operation and right ventricular outflow tract reconstruction with stentless xenografts. Journal of Heart Valve Disease. ,vol. 5, pp. 418- ,(1996)