Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits
Objective: Evaluate long-term results of autologous pericardial valved conduits in the pulmonary outflow. Methods: Between June 1983 and October 1993, 82 conduits were placed in the outflow of the venous ventricle. Patients who received homografts (n = 2 patients), heterografts (n = 3 patients), and...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2000-05, Vol.119 (5), p.869-879 |
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| creator | Schlichter, Andrés J. Kreutzer, Christian Mayorquim, Rita de Cassia Simon, Jorge L. Román, Maria I. Vazquez, Haydee Kreutzer, Eduardo A. Kreutzer, Guillermo O. Jonas, Sponsor: Richard A. |
| description | Objective: Evaluate long-term results of autologous pericardial valved conduits in the pulmonary outflow.
Methods: Between June 1983 and October 1993, 82 conduits were placed in the outflow of the venous ventricle. Patients who received homografts (n = 2 patients), heterografts (n = 3 patients), and valveless conduits (n = 19 patients) and those patients who died within 90 days after the operation were excluded. Fifty-four survivors of pulmonary outflow reconstruction with fresh autologous pericardial valved conduits were followed up from 5 to 15 years (mean, 7.47 ± 2.8 years). Diagnosis include
d -transposition of great arteries (n = 16 patients),
L -transposition of great arteries (n = 14 patients), tetralogy of Fallot, pulmonary atresia with ventricular septal defect (n = 11 patients), truncus arteriosus (n = 10 patients), and double-outlet ventricle (n = 3 patients). Implantation age ranged from 0.25 to 24 years (mean, 5.2 ± 4.2 years). Median conduit diameter was 16 mm. Two-dimensional echocardiographic Doppler evaluations were made yearly; 9 patients underwent cardiac catheterization. Reintervention for stenosis was indicated when the pressure gradient exceeded 50 mm Hg.
Results: Three late deaths were unrelated to the conduit. Thirty-five autologous pericardial valved conduits increased in diameter (1-7 mm), remained unchanged in 15 patients, and reduced 1 to 2 mm in 4 patients. The median diameter was 18 mm at the last evaluation (
P = .0001). Eight patients required conduit-related reoperation 3 to 8 years after the implantation. Two patients underwent balloon dilation of the autologous pericardial valved conduit. No conduit had to be replaced. Freedom from reintervention at 5 and 10 years was 92% and 76%, being 100% at 10 years for conduits larger than 16 mm at time of implantation.
Conclusions: Autologous pericardial valved conduits show excellent long-term results and compare favorably with other conduits. (J Thorac Cardiovasc Surg 2000;119:869-79) |
| doi_str_mv | 10.1016/S0022-5223(00)70081-X |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71083424</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S002252230070081X</els_id><sourcerecordid>71083424</sourcerecordid><originalsourceid>FETCH-LOGICAL-c535t-a6123fa2477ed57340d7decf92a011c6d1b9a035e42760c9029f664e737591d13</originalsourceid><addsrcrecordid>eNqFkD1vFDEURS0EIpvATwC54qMwPHvG9riKUEQCUqQUgLSd5djPWUfe9WLPbJR_zyQTITqq15x739Uh5A2HTxy4-vwDQAgmheg-AHzUAANn62dkxcFopga5fk5Wf5EjctzaLQBo4OYlOeKgh2EAtSJX5-mAjI6FxhRHxB27R1dpLDmXOzbtaYk0Vmwb6qax5HJTpkb3WJN3NSSX6cHlAwbqyy5MaWyvyIvocsPXT_eE_Dr_-vPsG7u8uvh-9uWSednJkTnFRRed6LXGIHXXQ9ABfTTCAedeBX5tHHQSe6EVeAPCRKV61J2WhgfenZB3S---lt8TttFuU_OYs9vhPNFqDkPXi34G5QL6WlqrGO2-pq2r95aDfTBpH03aB00WwD6atOs59_bpwXS9xfBPalE3A-8XYJNuNnepom1bl_OMc3s7-sa5sdIOyszk6ULiLOSQsNrmE-48hjnlRxtK-s-YP36RkDw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71083424</pqid></control><display><type>article</type><title>Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Schlichter, Andrés J. ; Kreutzer, Christian ; Mayorquim, Rita de Cassia ; Simon, Jorge L. ; Román, Maria I. ; Vazquez, Haydee ; Kreutzer, Eduardo A. ; Kreutzer, Guillermo O. ; Jonas, Sponsor: Richard A.</creator><creatorcontrib>Schlichter, Andrés J. ; Kreutzer, Christian ; Mayorquim, Rita de Cassia ; Simon, Jorge L. ; Román, Maria I. ; Vazquez, Haydee ; Kreutzer, Eduardo A. ; Kreutzer, Guillermo O. ; Jonas, Sponsor: Richard A.</creatorcontrib><description>Objective: Evaluate long-term results of autologous pericardial valved conduits in the pulmonary outflow.
Methods: Between June 1983 and October 1993, 82 conduits were placed in the outflow of the venous ventricle. Patients who received homografts (n = 2 patients), heterografts (n = 3 patients), and valveless conduits (n = 19 patients) and those patients who died within 90 days after the operation were excluded. Fifty-four survivors of pulmonary outflow reconstruction with fresh autologous pericardial valved conduits were followed up from 5 to 15 years (mean, 7.47 ± 2.8 years). Diagnosis include
d -transposition of great arteries (n = 16 patients),
L -transposition of great arteries (n = 14 patients), tetralogy of Fallot, pulmonary atresia with ventricular septal defect (n = 11 patients), truncus arteriosus (n = 10 patients), and double-outlet ventricle (n = 3 patients). Implantation age ranged from 0.25 to 24 years (mean, 5.2 ± 4.2 years). Median conduit diameter was 16 mm. Two-dimensional echocardiographic Doppler evaluations were made yearly; 9 patients underwent cardiac catheterization. Reintervention for stenosis was indicated when the pressure gradient exceeded 50 mm Hg.
Results: Three late deaths were unrelated to the conduit. Thirty-five autologous pericardial valved conduits increased in diameter (1-7 mm), remained unchanged in 15 patients, and reduced 1 to 2 mm in 4 patients. The median diameter was 18 mm at the last evaluation (
P = .0001). Eight patients required conduit-related reoperation 3 to 8 years after the implantation. Two patients underwent balloon dilation of the autologous pericardial valved conduit. No conduit had to be replaced. Freedom from reintervention at 5 and 10 years was 92% and 76%, being 100% at 10 years for conduits larger than 16 mm at time of implantation.
Conclusions: Autologous pericardial valved conduits show excellent long-term results and compare favorably with other conduits. (J Thorac Cardiovasc Surg 2000;119:869-79)</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/S0022-5223(00)70081-X</identifier><identifier>PMID: 10788806</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Echocardiography, Doppler ; Female ; Follow-Up Studies ; Heart Defects, Congenital - diagnostic imaging ; Heart Defects, Congenital - mortality ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Male ; Pericardium - transplantation ; Postoperative Complications ; Pulmonary Valve - surgery ; Reoperation ; Retrospective Studies ; Surveys and Questionnaires ; Survival Rate ; Transplantation, Autologous ; Treatment Outcome</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2000-05, Vol.119 (5), p.869-879</ispartof><rights>2000 American Association for Thoracic Surgery</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-a6123fa2477ed57340d7decf92a011c6d1b9a035e42760c9029f664e737591d13</citedby><cites>FETCH-LOGICAL-c535t-a6123fa2477ed57340d7decf92a011c6d1b9a035e42760c9029f664e737591d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S002252230070081X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10788806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schlichter, Andrés J.</creatorcontrib><creatorcontrib>Kreutzer, Christian</creatorcontrib><creatorcontrib>Mayorquim, Rita de Cassia</creatorcontrib><creatorcontrib>Simon, Jorge L.</creatorcontrib><creatorcontrib>Román, Maria I.</creatorcontrib><creatorcontrib>Vazquez, Haydee</creatorcontrib><creatorcontrib>Kreutzer, Eduardo A.</creatorcontrib><creatorcontrib>Kreutzer, Guillermo O.</creatorcontrib><creatorcontrib>Jonas, Sponsor: Richard A.</creatorcontrib><title>Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Objective: Evaluate long-term results of autologous pericardial valved conduits in the pulmonary outflow.
Methods: Between June 1983 and October 1993, 82 conduits were placed in the outflow of the venous ventricle. Patients who received homografts (n = 2 patients), heterografts (n = 3 patients), and valveless conduits (n = 19 patients) and those patients who died within 90 days after the operation were excluded. Fifty-four survivors of pulmonary outflow reconstruction with fresh autologous pericardial valved conduits were followed up from 5 to 15 years (mean, 7.47 ± 2.8 years). Diagnosis include
d -transposition of great arteries (n = 16 patients),
L -transposition of great arteries (n = 14 patients), tetralogy of Fallot, pulmonary atresia with ventricular septal defect (n = 11 patients), truncus arteriosus (n = 10 patients), and double-outlet ventricle (n = 3 patients). Implantation age ranged from 0.25 to 24 years (mean, 5.2 ± 4.2 years). Median conduit diameter was 16 mm. Two-dimensional echocardiographic Doppler evaluations were made yearly; 9 patients underwent cardiac catheterization. Reintervention for stenosis was indicated when the pressure gradient exceeded 50 mm Hg.
Results: Three late deaths were unrelated to the conduit. Thirty-five autologous pericardial valved conduits increased in diameter (1-7 mm), remained unchanged in 15 patients, and reduced 1 to 2 mm in 4 patients. The median diameter was 18 mm at the last evaluation (
P = .0001). Eight patients required conduit-related reoperation 3 to 8 years after the implantation. Two patients underwent balloon dilation of the autologous pericardial valved conduit. No conduit had to be replaced. Freedom from reintervention at 5 and 10 years was 92% and 76%, being 100% at 10 years for conduits larger than 16 mm at time of implantation.
Conclusions: Autologous pericardial valved conduits show excellent long-term results and compare favorably with other conduits. (J Thorac Cardiovasc Surg 2000;119:869-79)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Heart Defects, Congenital - mortality</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Pericardium - transplantation</subject><subject>Postoperative Complications</subject><subject>Pulmonary Valve - surgery</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Surveys and Questionnaires</subject><subject>Survival Rate</subject><subject>Transplantation, Autologous</subject><subject>Treatment Outcome</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1vFDEURS0EIpvATwC54qMwPHvG9riKUEQCUqQUgLSd5djPWUfe9WLPbJR_zyQTITqq15x739Uh5A2HTxy4-vwDQAgmheg-AHzUAANn62dkxcFopga5fk5Wf5EjctzaLQBo4OYlOeKgh2EAtSJX5-mAjI6FxhRHxB27R1dpLDmXOzbtaYk0Vmwb6qax5HJTpkb3WJN3NSSX6cHlAwbqyy5MaWyvyIvocsPXT_eE_Dr_-vPsG7u8uvh-9uWSednJkTnFRRed6LXGIHXXQ9ABfTTCAedeBX5tHHQSe6EVeAPCRKV61J2WhgfenZB3S---lt8TttFuU_OYs9vhPNFqDkPXi34G5QL6WlqrGO2-pq2r95aDfTBpH03aB00WwD6atOs59_bpwXS9xfBPalE3A-8XYJNuNnepom1bl_OMc3s7-sa5sdIOyszk6ULiLOSQsNrmE-48hjnlRxtK-s-YP36RkDw</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Schlichter, Andrés J.</creator><creator>Kreutzer, Christian</creator><creator>Mayorquim, Rita de Cassia</creator><creator>Simon, Jorge L.</creator><creator>Román, Maria I.</creator><creator>Vazquez, Haydee</creator><creator>Kreutzer, Eduardo A.</creator><creator>Kreutzer, Guillermo O.</creator><creator>Jonas, Sponsor: Richard A.</creator><general>Mosby, Inc</general><general>AATS/WTSA</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits</title><author>Schlichter, Andrés J. ; Kreutzer, Christian ; Mayorquim, Rita de Cassia ; Simon, Jorge L. ; Román, Maria I. ; Vazquez, Haydee ; Kreutzer, Eduardo A. ; Kreutzer, Guillermo O. ; Jonas, Sponsor: Richard A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-a6123fa2477ed57340d7decf92a011c6d1b9a035e42760c9029f664e737591d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Heart Defects, Congenital - mortality</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Pericardium - transplantation</topic><topic>Postoperative Complications</topic><topic>Pulmonary Valve - surgery</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Surveys and Questionnaires</topic><topic>Survival Rate</topic><topic>Transplantation, Autologous</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schlichter, Andrés J.</creatorcontrib><creatorcontrib>Kreutzer, Christian</creatorcontrib><creatorcontrib>Mayorquim, Rita de Cassia</creatorcontrib><creatorcontrib>Simon, Jorge L.</creatorcontrib><creatorcontrib>Román, Maria I.</creatorcontrib><creatorcontrib>Vazquez, Haydee</creatorcontrib><creatorcontrib>Kreutzer, Eduardo A.</creatorcontrib><creatorcontrib>Kreutzer, Guillermo O.</creatorcontrib><creatorcontrib>Jonas, Sponsor: Richard A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schlichter, Andrés J.</au><au>Kreutzer, Christian</au><au>Mayorquim, Rita de Cassia</au><au>Simon, Jorge L.</au><au>Román, Maria I.</au><au>Vazquez, Haydee</au><au>Kreutzer, Eduardo A.</au><au>Kreutzer, Guillermo O.</au><au>Jonas, Sponsor: Richard A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2000-05-01</date><risdate>2000</risdate><volume>119</volume><issue>5</issue><spage>869</spage><epage>879</epage><pages>869-879</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>Objective: Evaluate long-term results of autologous pericardial valved conduits in the pulmonary outflow.
Methods: Between June 1983 and October 1993, 82 conduits were placed in the outflow of the venous ventricle. Patients who received homografts (n = 2 patients), heterografts (n = 3 patients), and valveless conduits (n = 19 patients) and those patients who died within 90 days after the operation were excluded. Fifty-four survivors of pulmonary outflow reconstruction with fresh autologous pericardial valved conduits were followed up from 5 to 15 years (mean, 7.47 ± 2.8 years). Diagnosis include
d -transposition of great arteries (n = 16 patients),
L -transposition of great arteries (n = 14 patients), tetralogy of Fallot, pulmonary atresia with ventricular septal defect (n = 11 patients), truncus arteriosus (n = 10 patients), and double-outlet ventricle (n = 3 patients). Implantation age ranged from 0.25 to 24 years (mean, 5.2 ± 4.2 years). Median conduit diameter was 16 mm. Two-dimensional echocardiographic Doppler evaluations were made yearly; 9 patients underwent cardiac catheterization. Reintervention for stenosis was indicated when the pressure gradient exceeded 50 mm Hg.
Results: Three late deaths were unrelated to the conduit. Thirty-five autologous pericardial valved conduits increased in diameter (1-7 mm), remained unchanged in 15 patients, and reduced 1 to 2 mm in 4 patients. The median diameter was 18 mm at the last evaluation (
P = .0001). Eight patients required conduit-related reoperation 3 to 8 years after the implantation. Two patients underwent balloon dilation of the autologous pericardial valved conduit. No conduit had to be replaced. Freedom from reintervention at 5 and 10 years was 92% and 76%, being 100% at 10 years for conduits larger than 16 mm at time of implantation.
Conclusions: Autologous pericardial valved conduits show excellent long-term results and compare favorably with other conduits. (J Thorac Cardiovasc Surg 2000;119:869-79)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>10788806</pmid><doi>10.1016/S0022-5223(00)70081-X</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Child Child, Preschool Echocardiography, Doppler Female Follow-Up Studies Heart Defects, Congenital - diagnostic imaging Heart Defects, Congenital - mortality Heart Defects, Congenital - surgery Humans Infant Male Pericardium - transplantation Postoperative Complications Pulmonary Valve - surgery Reoperation Retrospective Studies Surveys and Questionnaires Survival Rate Transplantation, Autologous Treatment Outcome |
| title | Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits |
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