Femoral vein homograft for neoaortic reconstruction in the Norwood stage 1 operation: A follow-up study Thomas J. Seery, MD, Pranava Sinha, MD, David.

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Presentation transcript:

Femoral vein homograft for neoaortic reconstruction in the Norwood stage 1 operation: A follow-up study Thomas J. Seery, MD, Pranava Sinha, MD, David Zurakowski, PhD, Richard A. Jonas, MD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 3, Pages 550-556 (September 2013) DOI: 10.1016/j.jtcvs.2012.12.010 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Technical modifications used for neoaortic reconstruction. A, Homograft cuff technique. B, Homograft tube with end-to-side ascending aortic reimplantation. C, Homograft tube without end-to-side aortic reimplantation, “double-barrel.” Black arrow depicts site of aortic cannulation. Lateral aortograms for the 3 techniques. D, Homograft cuff. E, Homograft tube with end-to-side ascending aortic reimplantation. F, Homograft tube without end-to-side aortic reimplantation, “double-barrel.” White line depicts sites of angiographic measurements for each of the techniques. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 550-556DOI: (10.1016/j.jtcvs.2012.12.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier curve representing survival after Norwood stage 1 operation. ∗Significant difference with use of circumferential femoral vein homograft with end-to-side anastomosis of the ascending aorta. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 550-556DOI: (10.1016/j.jtcvs.2012.12.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Neoaortic size with follow-up. Absolute neoaortic diameter in millimeters by type of repair. A, Circumferential tube homograft with or without end-to-side ascending aortic anastomosis: Femoral vein homografts (group A) vs others (group B). B, Homograft cuff: Femoral vein homografts (group A) vs others (group B). Neoaortic Z scores. C, Circumferential tube homograft with or without end-to-side ascending aortic anastomosis: Femoral vein homografts (group A) vs others (group B). D, Homograft cuff: Femoral vein homografts (group A) vs others (group B). BDG, Bidirectional Glenn. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 550-556DOI: (10.1016/j.jtcvs.2012.12.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions