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. 1986 Mar;13(1):137–142.

Preliminary Experience with GORE-TEX® Grafting for Right Ventricle-Pulmonary Artery Conduits

J Ernesto Molina 1
PMCID: PMC324610  PMID: 15226844

Abstract

A consecutive series of 12 patients between the ages of 6½ and 37 years underwent implantation of venous ventricle-pulmonary artery conduits. GORE-TEX material without prosthetic valves was used. Four patients had L-transposition of the great vessels with ventricular septal defect (VSD) and pulmonary stenosis; four had tetralogy of Fallot with pulmonary atresia; and one had double outlet right ventricle, pulmonary stenosis, and a complete form of A-V canal. Two patients had D-transposition of the great arteries, VSD, and pulmonary stenosis; and one patient had L-transposition of the great arteries and isolated pulmonary stenosis. All patients had low pulmonary resistance and pressures. The technique for implanting this noncrimped type of prosthesis is described in detail. Follow-up ranged from 2 months to 5½ years.

GORE-TEX offers a good choice of material for the construction of this type of conduit to prevent pseudointima formation and obstruction, which is often observed in woven Dacron grafts.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Agarwal K. C., Edwards W. D., Feldt R. H., Danielson G. K., Puga F. J., McGoon D. C. Clinicopathological correlates of obstructed right-sided porcine-valved extracardiac conduits. J Thorac Cardiovasc Surg. 1981 Apr;81(4):591–601. [PubMed] [Google Scholar]
  2. Agarwal K. C., Edwards W. D., Feldt R. H., Danielson G. K., Puga F. J., McGoon D. C. Pathogenesis of nonobstructive fibrous peels in right-sided porcine-valved extracardiac conduits. J Thorac Cardiovasc Surg. 1982 Apr;83(4):584–589. [PubMed] [Google Scholar]
  3. Agarwal K. C., Edwards W. D., Mair D. D., Julsrud P. R., Seward J. B., Danielson G. K., Feldt R. H. Severe fibrotic obstruction of Hancock conduit after Fontan operation. J Thorac Cardiovasc Surg. 1982 May;83(5):791–794. [PubMed] [Google Scholar]
  4. Appelbaum A., Bargeron L. M., Jr, Pacifico A. D., Kirklin J. W. Surgical treatment of truncus arteriosus, with emphasis on infants and small children. J Thorac Cardiovasc Surg. 1976 Mar;71(3):436–440. [PubMed] [Google Scholar]
  5. Bisset G. S., 3rd, Schwartz D. C., Benzing G., 3rd, Helmsworth J., Schreiber J. T., Kaplan S. Late results of reconstruction of the right ventricular outflow tract with porcine xenografts in children. Ann Thorac Surg. 1981 May;31(5):437–443. doi: 10.1016/s0003-4975(10)60998-8. [DOI] [PubMed] [Google Scholar]
  6. Bowman F. O., Jr, Hancock W. D., Malm J. R. A valve-containing dacron prosthesis. Its use in restoring pulmonary artery-right ventricular continuity. Arch Surg. 1973 Nov;107(5):724–728. doi: 10.1001/archsurg.1973.01350230076015. [DOI] [PubMed] [Google Scholar]
  7. Campbell C. D., Goldfarb D., Roe R. A small arterial substitute: expanded microporous polytetrafluoroethylene: patency versus porosity. Ann Surg. 1975 Aug;182(2):138–143. doi: 10.1097/00000658-197508000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ciaravella J. M., Jr, McGoon D. C., Danielson G. K., Wallace R. B., Mair D. D., Ilstrup D. M. Experience with the extracardiac conduit. J Thorac Cardiovasc Surg. 1979 Dec;78(6):920–930. [PubMed] [Google Scholar]
  9. Cooley D. A., Smith J. M. Repair of pulmonary arterial stenosis after Waterston-Cooley anastomosis. J Thorac Cardiovasc Surg. 1979 Mar;77(3):474–477. [PubMed] [Google Scholar]
  10. Ebert P. A., Robinson S. J., Stanger P., Engle M. A. Pulmonary artery conduits in infants younger than six months of age. J Thorac Cardiovasc Surg. 1976 Sep;72(3):351–356. [PubMed] [Google Scholar]
  11. Feinstein A. R. T. Duckett Jones Memorial Lecture. The Jones criteria and the challenges of clinimetrics. Circulation. 1982 Jul;66(1):1–5. doi: 10.1161/01.cir.66.1.1. [DOI] [PubMed] [Google Scholar]
  12. Fiore A. C., Peigh P. S., Robison R. J., Glant M. D., King H., Brown J. W. Valved and nonvalved right ventricular--pulmonary arterial extracardiac conduits. An experimental comparison. J Thorac Cardiovasc Surg. 1983 Oct;86(4):490–497. [PubMed] [Google Scholar]
  13. Gazzaniga A. B., Lamberti J. J., Siewers R. D., Sperling D. R., Dietrick W. R., Arcilla R. A., Replogle R. L. Arterial prosthesis of microporous expanded polytetrafluoroethylene for construction of aorta-pulmonary shunts. J Thorac Cardiovasc Surg. 1976 Sep;72(3):357–363. [PubMed] [Google Scholar]
  14. Jennings R. B., Jr, Innes B. J., Brickman R. D. Use of microporous expanded polytetrafluoroethylene grafts for aorta-pulmonary shunts in infants with complex cyanotic heart disease. A report of seven cases. J Thorac Cardiovasc Surg. 1978 Oct;76(4):489–494. [PubMed] [Google Scholar]
  15. Kirklin J. W., Bailey W. W. Valved external conduits to pulmonary arteries. Ann Thorac Surg. 1977 Sep;24(3):202–205. doi: 10.1016/s0003-4975(10)63742-3. [DOI] [PubMed] [Google Scholar]
  16. Kiser J. C., Ongley P. A., Kirklin J. W., Clarkson P. M., McGoon D. C. Surgical treatment of dextrocardia with inversion of ventricles and double-outlet right ventricle. J Thorac Cardiovasc Surg. 1968 Jan;55(1):6–15. [PubMed] [Google Scholar]
  17. McGoon D. C., Danielson G. K., Puga F. J., Ritter D. G., Mair D. D., Ilstrup D. M. Late results after extracardiac conduit repair for congenital cardiac defects. Am J Cardiol. 1982 May;49(7):1741–1749. doi: 10.1016/0002-9149(82)90254-5. [DOI] [PubMed] [Google Scholar]
  18. Norwood W. I., Freed M. D., Rocchini A. P., Bernhard W. F., Castaneda A. R. Experience with valved conduits for repair of congenital cardiac lesions. Ann Thorac Surg. 1977 Sep;24(3):223–232. doi: 10.1016/s0003-4975(10)63747-2. [DOI] [PubMed] [Google Scholar]
  19. Peetz D. J., Jr, Spicer R. L., Crowley D. C., Sloan H., Behrendt D. M. Correction of truncus arteriosus in the neonate using a nonvalved conduit. J Thorac Cardiovasc Surg. 1982 May;83(5):743–746. [PubMed] [Google Scholar]
  20. Rastelli G. C., McGoon D. C., Wallace R. B. Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis. J Thorac Cardiovasc Surg. 1969 Oct;58(4):545–552. [PubMed] [Google Scholar]
  21. Saravalli O. A., Somerville J., Jefferson K. E. Calcification of aortic homografts used for reconstruction of the right ventricular outflow tract. J Thorac Cardiovasc Surg. 1980 Dec;80(6):909–920. [PubMed] [Google Scholar]
  22. Stewart S. Double-outlet right ventricle. A collective review with a surgical viewpoint. J Thorac Cardiovasc Surg. 1976 Mar;71(3):355–365. [PubMed] [Google Scholar]
  23. Stewart S., Manning J., Alexson C., Harris P. The Hancock external valved conduit. A dichotomy between late clinical results and late cardiac catheterization findings. J Thorac Cardiovasc Surg. 1983 Oct;86(4):562–569. [PubMed] [Google Scholar]
  24. Sullivan H., Sulayman R., Replogle R., Arcilla R. A. Surgical correction of truncus arteriosus in infancy. Am J Cardiol. 1976 Jul;38(1):113–116. doi: 10.1016/0002-9149(76)90072-2. [DOI] [PubMed] [Google Scholar]
  25. Vergesslich K. A., Gersony W. M., Steeg C. N., Hordof A. J., Bowman F. O., Jr, Malm J. R., Krongrad E. Postoperative assessment of porcine-valved right ventricular-pulmonary artery conduits. Am J Cardiol. 1984 Jan 1;53(1):202–205. doi: 10.1016/0002-9149(84)90711-2. [DOI] [PubMed] [Google Scholar]
  26. Wesolowski S. A., Fries C. C., Martinez A., McMahon J. D. Arterial prosthetic materials. Ann N Y Acad Sci. 1968 Jan;146(1):325–344. doi: 10.1111/j.1749-6632.1968.tb20291.x. [DOI] [PubMed] [Google Scholar]
  27. Wesolowski S. A. Performance of materials as prosthetic blood vessels. Bull N Y Acad Med. 1972 Feb;48(2):331–356. [PMC free article] [PubMed] [Google Scholar]
  28. de Vivie E. R., Hellberg K., Kutzner D. D., Rahlf G., Rupprath G., Beuren A. J. Conduit repair for complex congenital heart disease with pulmonary atresia or right ventricular outflow tract obstruction. part I: surgical results. Thorac Cardiovasc Surg. 1981 Dec;29(6):329–336. doi: 10.1055/s-2007-1023509. [DOI] [PubMed] [Google Scholar]

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