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Safe surgical strategy for extracardiac conduit replacement in common arterial trunk*

Published online by Cambridge University Press:  18 January 2013

Tom R. Karl
Tom R. Karl*
Affiliation:
Department of Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children's Hospital, Brisbane, Australia
*
Correspondence to: Professor T. R. Karl, Queensland Paediatric Cardiac Service, Mater Children's Hospital, Raymond Terrace, Brisbane, QLD 4101, Australia. Tel: +61 736137597; E-mail: [email protected]
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Abstract

Repair of common arterial trunk using an extracardiac right ventricular to pulmonary arterial conduit is the preferred method in most cardiac surgical centres. Reoperation is a fact of life for survivors of common arterial trunk and related cardiac lesions who have undergone such repairs. Long-term survivors may require periodic conduit revisions, with a potentially escalating technical difficulty and risk. Herein we present an analysis of the currently available choices for extracardiac conduits, and outline what we consider to be a safe and reliable surgical strategy for conduit revision.

Keywords

Truncusextracardiac conduitreoperation
Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 708 - 717
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

*

Presented at the 12th International Symposium on Congenital Heart Disease (Truncus and Transposition), St. Petersburg, Florida, United States of America, February, 2012.

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