[A case of right ventricular outflow reconstruction surgery using an autologous pericardial non-valved conduit to treat pulmonary atresia with uncommon systemic-pulmonary collateral artery].
A 11-year-old girl diagnosed as having pulmonary atresia with uncommon systemic-pulmonary artery underwent on March 6, 1991. The collateral artery was derived from the left subclavian artery and divided from the descending aorta. Right ventricular outflow reconstruction was performed using a non-valved conduit of the autologous pericardium, and anastomosis of the conduit and pulmonary artery was successfully performed prior to extracorporeal circulation, because of the conduit's flexibility. Thus, we could reduce extracorporeal circulation time. Postoperative course was excellent, and patient is free from the morbidity associated with prosthetic valve. It is considered that a non-valved conduit of the autologous pericardium may be effective, but will require a long term follow-up.
Department of Cardiovascular Surgery, Tokyo Women's Medical College Daini Hospital, Japan.
K
K
Mitsui
K
K
Suma
K
K
Shiroma
H
H
Kaneko
F
F
Miyawaki
K
K
Imanishi
D001807:Blood Vessel Prosthesis; D002648:Child; D003097:Collateral Circulation; D003251:Constriction, Pathologic / Q000601:surgery; D005260:Female; D006801:Humans; D010496:Pericardium; D011651:Pulmonary Artery / Q000002:abnormalities*; D011652:Pulmonary Circulation; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000601:surgery*; D014694:Ventricular Outflow Obstruction / Q000601:surgery*