Thomas J. van Brakel, MD, PhD, Paul H

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Presentation transcript:

High incidence of Dacron conduit stenosis for extracardiac Fontan procedure Thomas J. van Brakel, MD, PhD, Paul H. Schoof, MD, PhD, Frank de Roo, MPA, Peter G.J. Nikkels, MD, PhD, Fabiola C.M. Evens, MD, Felix Haas, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 5, Pages 1568-1572 (May 2014) DOI: 10.1016/j.jtcvs.2013.07.013 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Typical angiographic example of a stenosed extracardiac Dacron conduit. SVC, Superior vena cava; RPA, right pulmonary artery; LPA, left pulmonary artery; C, conduit; IVC, inferior vena cava. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1568-1572DOI: (10.1016/j.jtcvs.2013.07.013) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Left, Vascutek graft after explantation with neointima proliferation covering the entire inner surface of the conduit. Right, The graft luminal diameter is depicted by the 8-mm Hegar dilator. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1568-1572DOI: (10.1016/j.jtcvs.2013.07.013) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Histologic examination of explanted Dacron conduit. A, Fibrotic neointima, collagen richness of neointima. B, Sirius red vital intact endothelium, C, CD31 stain, and D, fibrosis between the Dacron. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1568-1572DOI: (10.1016/j.jtcvs.2013.07.013) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions