[The autologous pericardial tube-flap. A new technic for restoring the continuity between the right ventricle and the pulmonary artery].
Re-establishing continuity between the right ventricle and the division of the pulmonary trunk may prove difficult in surgical correction of transposition of the great vessels. Although prosthetic tubes, which had many drawbacks, have been replaced by direct anastomoses, partial reconstruction of the pulmonary arterial wall is still often necessary. The materials commonly used are segments of gore-tex, stored pericardium and fresh or glutaraldehyde-treated pericardium. However, retractions may develop in these reconstructions resulting in pulmonary stenosis. These complications have revived the debate on the best technique for re-establishing continuity, and it is mandatory to use a growing tissue to keep pace with the child's development. We report here an original technique used in an infant. Previous studies have shown that the autologous pericardial flap, transformed here into a tube, retains its potential for growth.
D001807:Blood Vessel Prosthesis / Q000379:methods; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D010496:Pericardium / Q000637:transplantation*; D011651:Pulmonary Artery / Q000601:surgery; D014182:Transplantation, Autologous; D014188:Transposition of Great Vessels / Q000601:surgery*
Le tube pédiculé de péricarde autologue. Une nouvelle technique pour rétablir la continuité entre le ventricule droit et l'artère pulmonaire.