Dissection in a right sided porcine-valved Dacron conduit.
Seventeen years after corrective surgery for a double outlet right ventricle and pulmonary stenosis, a 30-year-old patient was admitted for reoperation for a critical stenosis of a porcine-valved Dacron conduit between the right ventricle and pulmonary artery. A residual ventricular septal defect was present. Induction of anaesthesia resulted in an inadequate pulmonary flow and uncontrollable ventricular arrhythmias. At autopsy the conduit showed a dissection between the conduit wall and the peel formation, leaving a residual lumen with a diameter of less than a third of the original. Patients with a right sided bioprosthetic valved conduit must be evaluated regularly and operated before the stenosis becomes critical.
Hokken
R B
RB
Department of Cardiopulmonary Surgery, University Hospital Sophia-Dijkzigt, Rotterdam, The Netherlands.
Spitaels
S E
SE
Hagenouw
R R
RR
Bogers
A J
AJ
D000328:Adult; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D006083:Graft Occlusion, Vascular / Q000473:pathology; D006330:Heart Defects, Congenital / Q000473:pathology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation
D011093:Polyethylene Terephthalates