Modified repair of truncus arteriosus to maintain pulmonary artery architecture.
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.
Alfieris
George M
GM
Department of Surgery, University of Rochester, Strong Memorial Hospital, Rochester, New York 14582, USA. george_alfieris@rochester.urmc.edu
Gangemi
James J
JJ
Schiralli
Mathew P
MP
Swartz
Michael F
MF
Cholette
Jill M
JM
D006348:Cardiac Surgical Procedures / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D011651:Pulmonary Artery; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*