title: Relief of right ventricle to pulmonary artery conduit compression by chest wall resection.
abstract: Many congenital heart defects require reconstruction of the right ventricular outflow tract utilizing a right ventricle to pulmonary artery conduit. One of the challenges with these conduits is the development of conduit stenosis. This phenomenon is quite common and typically results from a combination of progressive calcification, fibrosis, and/or the relative size mismatch that occurs with patient growth. However, extrinsic compression is much less common and a much more difficult problem to address. Chest wall resection and reconstruction is an option for alleviating external conduit compression that provides good results.
authors.affiliation: Departments of Cardiothoracic Surgery Cardiology, Emory University, 1450 Clifton Road NE, Atlanta, GA 30322, USA. Brian_kogon@emoryhealthcare.org
authors.forename: Brian E
authors.initials: BE
authors.lastname: Kogon
authors.forename: Ashish
authors.initials: A
authors.lastname: Jain
authors.forename: Jonathan
authors.initials: J
authors.lastname: McGuinness
authors.forename: Jerre
authors.initials: J
authors.lastname: Lutz
authors.forename: Maan
authors.initials: M
authors.lastname: Jokhadar
authors.forename: Michael
authors.initials: M
authors.lastname: McConnell
authors.forename: Wendy
authors.initials: W
authors.lastname: Book
mesh_terms: D000328:Adult; D058366:Blalock-Taussig Procedure / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D020878:Device Removal; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D056346:Sternotomy; D016896:Treatment Outcome