Fatal spontaneous dissection of a Contegra conduit in a child.
The Contegra bovine jugular vein conduit (Medtronic, Minneapolis, MN) is one of the most widely used grafts for surgical reconstruction of the right ventricular outflow tract in both pediatric and adult patients with congenital heart disease. In this report, we describe a case of acute dissection of a neointimal peel in a Contegra conduit resulting in conduit stenosis and death of a child.
Division of Pediatric Cardiology, Seattle Children's Hospital, The University of Washington School of Medicine, Seattle, Washington. Electronic address: josh.weldin@seattlechildrens.org.
Joshua D
JD
Weldin
Division of Pathology, Seattle Children's Hospital, The University of Washington School of Medicine, Seattle, Washington.
Raj P
RP
Kapur
Division of Pediatric Cardiology, Seattle Children's Hospital, The University of Washington School of Medicine, Seattle, Washington.
Mark B
MB
Lewin
Division of Cardiac Surgery, Seattle Children's Hospital, The University of Washington School of Medicine, Seattle, Washington.
David Michael
DM
McMullan
D000818:Animals; D001705:Bioprosthesis; D002417:Cattle; D002675:Child, Preschool; D017809:Fatal Outcome; D006801:Humans; D007601:Jugular Veins / Q000637:transplantation*; D011474:Prosthesis Design; D014694:Ventricular Outflow Obstruction / Q000601:surgery*