Semilunar Valve Replacement With Decellularized Homograft After Damus-Kaye-Stansel Anastomosis and Fontan Procedure

We describe a patient in whom severe neoaortic (anatomic pulmonary) valve regurgitation developed late after Damus-Kaye-Stansel anastomosis and Fontan operation. The valve was replaced with a fresh decellularized homograft, which we developed and applied in the normal pulmonary and aortic position i...

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Veröffentlicht in:	The Annals of thoracic surgery 2014-05, Vol.97 (5), p.1792-1795
Hauptverfasser:	Bobylev, Dmitry, MD, Breymann, Thomas, MD, Boethig, Dietmar, MD, Haverich, Axel, MD, Ono, Masamichi, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Abnormalities, Multiple - diagnosis Abnormalities, Multiple - surgery Acellular Dermis Anastomosis, Surgical - adverse effects Anastomosis, Surgical - methods Angiography - methods Aortic Coarctation - diagnosis Aortic Coarctation - surgery Cardiac Valve Annuloplasty - methods Cardiothoracic Surgery Cardiovascular Abnormalities - diagnosis Cardiovascular Abnormalities - surgery Child Double Outlet Right Ventricle - diagnosis Double Outlet Right Ventricle - surgery Echocardiography, Doppler - methods Follow-Up Studies Fontan Procedure - adverse effects Fontan Procedure - methods Humans Male Postoperative Complications - diagnosis Postoperative Complications - surgery Pulmonary Valve Insufficiency - diagnostic imaging Pulmonary Valve Insufficiency - etiology Pulmonary Valve Insufficiency - surgery Risk Assessment Surgery Time Factors Tomography, X-Ray Computed - methods Transplantation, Homologous Transposition of Great Vessels - diagnosis Transposition of Great Vessels - surgery Treatment Outcome
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Zusammenfassung:	We describe a patient in whom severe neoaortic (anatomic pulmonary) valve regurgitation developed late after Damus-Kaye-Stansel anastomosis and Fontan operation. The valve was replaced with a fresh decellularized homograft, which we developed and applied in the normal pulmonary and aortic position in more than 100 patients. During follow-up of more than 2 years, the valve function is excellent, and no infectious or thromboembolic complications were seen. The decellularized homograft seems to be an ideal material in this situation.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2013.07.116