Long-term follow-up after primary complete repair of common arterial trunk with homograft: A 40-year experience

Vohra, Hunaid A.; Whistance, Robert N.; Chia, Alicia; Janusauskas, Vilias; Nikolaidis, Nicholas; Roubelakis, Apostolos; Veldtman, Gruschen; Roman, Kevin S.; Vettukattil, Joseph J.; Gnanapragasam, James; Salmon, Anthony P.; Monro, James L.; Haw, Marcus P.

doi:10.1016/j.jtcvs.2009.12.052

Cited by 29 publications

(22 citation statements)

References 23 publications

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“…Only 30% of patients were free from reoperation 10 years after CAT repair, and despite 90% of these patients remaining in good clinical condition, more than 50% have significant residual lesions [15]. Better results are those reported by Vohra et al from Southampton (UK), with an 83% survival at postoperatively 30 years (Figure 9) [18].…”

Section: Advances In Surgical Strategiesmentioning

confidence: 85%

“…Freedom from TV reoperation has been reported as 96, 82.3 and 62.7% at 1, 10 and 18 years, respectively [22]. More encouraging results were reported by the Southampton group, with freedom from TV replacement after repair of 93% at 10 years and 82% at 30 years [18].…”

Section: Tv Repairmentioning

confidence: 95%

“…Various techniques for TV repair have been described, including suturing partially developed commissures, suspension of leaflets, resection of the redundant portion of leaflets, annuloplasty of commissures and pericardial leaflet extension [23][24][25], tricuspidalization of a quadricuspid valve, or repair of the bicuspid valve [18]. However, the degree of postoperative TV insufficiency remains a risk factor for future reoperations and reduced long-term survival.…”

Section: Tv Repairmentioning

confidence: 99%

“…Wells et al found that valve area thickening and shrinkage led to conduit stenosis in 53% of cases, perhaps owing to immunological causes, whereas somatic outgrowth was responsible for only 8% [37]. On the other hand, a recent paper coming from the Southampton group showed that oversizing the homograft at the time of initial repair in CAT can lead to a homograft lasting more than 12 years [18]. In their series, the homograft used in the RVOT position was aortic in 24 patients and pulmonary in eight patients.…”

Section: Rvot Reconstructionmentioning

confidence: 99%

“…The technique consists of a cylindrical segment incorporating both pulmonary artery Redrawn with permission from [18]. branches sleeve-resected from the truncal artery.…”

Section: Rvot Reconstructionmentioning

confidence: 99%

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Common arterial trunk: review of surgical strategies and future research

Siena

Ghorbel

Chen

et al. 2011

Expert Review of Cardiovascular Therapy

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Common arterial trunk is a congenital malformation that is relatively uncommon, representing 0.21-0.34% of congenital heart disease. Natural history, if not treated, leads to early death. Cardiac surgery has been modifying its natural course during the last 30 years by prolonging the lifespan of patients affected. Despite surgical mortality improvements over the last 10 years, morbidity still remains high, mainly due to the age of the patient, associated heart lesions, the evolution of truncal valve function and the type of conduit used for pulmonary artery reconstruction. Common arterial trunk disease still represents a significant challenge for cardiac surgeons and cardiologists regarding attempts to improve long-term outcomes and quality of life. Promising results may be achieved in the next 5 years by the tissue valve-engineering technology applied to search for the ideal conduit on the right ventricular outflow tract. This research has already started in many centers in order to reduce several unavoidable reinterventions nowadays. In this review, we will comment on the situation, focusing on the latest surgical innovations of the last 5 years.

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Section: Advances In Surgical Strategiesmentioning

confidence: 85%

Section: Tv Repairmentioning

confidence: 95%

Section: Tv Repairmentioning

confidence: 99%

Section: Rvot Reconstructionmentioning

confidence: 99%

“…The technique consists of a cylindrical segment incorporating both pulmonary artery Redrawn with permission from [18]. branches sleeve-resected from the truncal artery.…”

Section: Rvot Reconstructionmentioning

confidence: 99%

See 3 more Smart Citations