title: Modified repair of truncus arteriosus to maintain pulmonary artery architecture.
abstract: Neonatal surgical repair for truncus arteriosus historically involves removing the pulmonary arteries from the truncal root, closing the ventricular septal defect, and creating right ventricular to pulmonary artery continuity. Unfortunately, early reintervention is frequently required for conduit failure and proximal branch pulmonary artery stenosis. We present a technique that preserves the pulmonary artery architecture, keeping the pulmonary arteries in their native position. This technique has been applied to 16 patients and appears to decrease proximal branch pulmonary artery stenosis, thereby extending conduit longevity and increasing the freedom from early reintervention.
authors: Department of Surgery, University of Rochester, Strong Memorial Hospital, Rochester, New York 14582, USA. george_alfieris@rochester.urmc.edu
authors: George M
authors: GM
authors: Alfieris
authors: James J
authors: JJ
authors: Gangemi
authors: Mathew P
authors: MP
authors: Schiralli
authors: Michael F
authors: MF
authors: Swartz
authors: Jill M
authors: JM
authors: Cholette
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*