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The Annals of Thoracic Surgery, Vol 48, 731-732, Copyright © 1989 by The Society of Thoracic Surgeons


ARTICLES

Construction of an aortic homograft conduit for right ventricle to pulmonary artery continuity

AV Hoots and DC Watson Jr
Department of Surgery, Le Bonheur Heart Center, Memphis, TN 38103.

Over the past decade the aortic homograft has become the extracardiac conduit of choice for repair of many congenital cardiac defects. Anastomosis of the homograft annulus to the right ventricle may distort the valve and render it incompetent. Prosthetic tube grafts have been used to bridge the right ventricle and distal homograft. We propose and have use successfully a method for establishing right ventricle to pulmonary artery continuity that is free of prosthetic materials, is technically simple, and places the homograft valve in the hilum, away from the distorting right ventricle free wall.


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M. A. Salim, T. G. DiSessa, B. S. Alpert, K. L. Arheart, W. M. Novick, and D. C. Watson Jr
The Fate of Homograft Conduits in Children With Congenital Heart Disease: An Angiographic Study
Ann. Thorac. Surg., January 1, 1995; 59(1): 67 - 73.
[Abstract] [Full Text]




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