Expanded polytetrafluoroethylene valved conduit and patch with bulging sinuses in right ventricular outflow tract reconstruction Takako Miyazaki, MD,

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Manuel J. Antunes, MD, PhD, DSc

Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters Victor Dayan, MD, PhD, Philippe Pibarot,

Can papillary muscle interventions improve mitral valve repair durability for ischemic mitral regurgitation? Christos G. Mihos, DO, Orlando Santana,

An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor Dong Zhao, MD, Chunsheng Wang,

Right Ventricular Outflow Reconstruction Using a Polytetrafluoroethylene Conduit With Bulging Sinuses and Tricuspid Fan-shaped Polytetrafluoroethylene.

Expanding options to manage traumatic thoracic vascular injuries

Valve-sparing repair to alleviate pulmonary regurgitation may lead to as much right ventricular dilatation as a transannular patch: A catch-22? Tae-Jin.

Seven-year outcome of pulmonary valve autograft replacement of the mitral valve in an infant Tomohito Kanzaki, MD, Masaaki Yamagishi, MD, PhD, Masafumi.

Yasui Conversion for Repair After Left Ventricular Outflow Tract Obstruction Satoshi Fujita, MD, PhD, Toshihide Nakano, MD, PhD, Shinichiro Oda, MD, PhD,

Pulmonary atresia with intact ventricular septum: Predictors of early and medium-term outcome in a population-based study Piers E.F. Daubeney, MRCP,

Yesterday's heroic measure is now standard procedure: Extracorporeal membrane oxygenation as a bridge to lung transplant Victor van Berkel, MD, PhD

Toward more reliable repair of ruptured sinus of Valsalva

Aortic root translocation with atrial switch: Another surgical option for congenitally corrected transposition of the great arteries with isolated pulmonary.

Ross procedure in the setting of anomalous aortic origin of a coronary artery Amit Pawale, MD, Bobby Yanagawa, MD, PhD, Robin Varghese, MD, Paul Stelzer,

Chun Wang, MD, Zongyi Xiu, MD, Tianxiang Gu, MD

Pulmonary hypertension in valve disease: A beast of the past?

Abracadabra I, II…HeartMate 3?

Form ever follows function

Victor van Berkel, MD, PhD

The Journal of Thoracic and Cardiovascular Surgery

Multilevel data analysis: What? Why? How?

Paul Modi, FRCS, Ansar Hassan, MD, PhD, W. Randolph Chitwood, MD

Syed T. Hussain, MD, Kwabena Mawulawde, MD, Samir R

Valve-sparing root repair: V-shaped remodeling can be performed in all sinuses Paul P. Urbanski, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

The lord of the rings Antonio Miceli, MD, PhD

Tricuspid regurgitation as a result of Chiari network attachment

A technique for implanting outflow cannulas for Berlin Heart EXCOR ventricular assist device in small pediatric patients Khanh Nguyen, MD The Journal.

Hemoptysis as a rare presentation of cor triatriatum sinister

The variability of the mitral valve anatomy and terminology

Ten-year experience with handmade trileaflet polytetrafluoroethylene valved conduit used for pulmonary reconstruction Makoto Ando, MD, Yukihiro Takahashi,

Takeshi Shinkawa, MD, Xinyu Tang, PhD, Jeffrey M

Innovation and science: The future of valve design

The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair Rakesh M. Suri,

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Long-term outcome of combined valve repair and maze procedure for nonrheumatic mitral regurgitation Tomoyuki Fujita, MD, Junjiro Kobayashi, MD, Koichi.

Anna Marciniak, PhD, Georgios T

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Valve performance classification in 630 subcoronary Ross patients over 22 years Hans-Hinrich Sievers, MD, Ulrich Stierle, MD, Michael Petersen, MD, Stefan.

Systemic Venous Rerouting Through the Coronary Sinus for ccTGA With Bilateral SVCs Satoshi Asada, MD, Masaaki Yamagishi, MD, PhD, Takako Miyazaki, MD,

Midterm results of mitral valve repair with artificial chordae in children Kazu Minami, MD, Hideaki Kado, MD, Sadahiro Sai, MD, Hideki Tatewaki, MD, Yuichi.

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Leora B. Balsam, MD, Abe DeAnda, MD

Intersurgeon variability in long-term outcomes after transatrial repair of tetralogy of Fallot: 25 years' experience with 675 patients Yves d'Udekem,

A new surgical technique for one-stage repair of interrupted aortic arch with valvular aortic stenosis Masaaki Yamagishi, MD, Katsuji Fujiwara, MD, Yoshiaki.

Commentary: Ongoing advancements in the understanding of tricuspid valve dynamics and functional geometry Daniel J.P. Burns, MD, MPhil The Journal of.

The Contegra conduit in the right ventricular outflow tract induces supravalvular stenosis Bart Meyns, MD, PhD, Leen Van Garsse, MD, Derize Boshoff,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Shunt right or left? Decision 2016

Half-turned truncal switch operation for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis Masaaki Yamagishi,

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

Use of polytetrafluoroethylene vascular graft to cover the kinking protector of left ventricular assist device facilitates later pump exchange Evgenij.

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

One-stage definitive repair of pulmonary atresia with intact ventricular septum and hypoplastic right ventricle Takeshi Shinkawa, MD, Masaaki Yamagishi,

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

The future of cardiac surgery training: A survival guide

Minor postoperative morbidity should not be neglected

Tricuspid annulus diameter does not predict the development of tricuspid regurgitation after mitral valve repair for mitral regurgitation due to degenerative.

Ralph E. Delius, MD The Journal of Thoracic and Cardiovascular Surgery

Pulmonary valve cusp augmentation with autologous pericardium may improve early outcome for tetralogy of Fallot Petros Anagnostopoulos, MD, Anthony Azakie,

“The more things change…”: The challenges ahead

Preoperative PFTs: The answer is blowing in the wind

Dynamic right ventricular outflow tract obstruction in cardiac surgery

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Left atrial to left ventricle bypass for mitral valve stenosis

Surgery for secondary tricuspid regurgitation: Rings, bands, or sutures, does it matter? Manuel J. Antunes, MD The Journal of Thoracic and Cardiovascular.

Designing valves: An art or science?

Edward Y. Chan, MD, Michael J. Reardon, MD

Presentation transcript:

Expanded polytetrafluoroethylene valved conduit and patch with bulging sinuses in right ventricular outflow tract reconstruction Takako Miyazaki, MD, Masaaki Yamagishi, MD, PhD, Atsuhiro Nakashima, MD, Kouji Fukae, MD, Toshihide Nakano, MD, Hitoshi Yaku, MD, PhD, Hideaki Kado, MD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 2, Pages 327-332 (August 2007) DOI: 10.1016/j.jtcvs.2007.03.030 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The stainless steel mold used to create the new transannular patch has a pedestal (top) and 3 covers (bottom) containing 1 to 3 holes. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 327-332DOI: (10.1016/j.jtcvs.2007.03.030) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Procedure for creating bulging sinuses in an ePTFE patch. A, ePTFE patch is sandwiched between the cover and the pedestal of the stainless steel mold (lateral view). B, Bulges are created in the ePTFE patch by vacuum suction, which pulls the patch into the cavities in the pedestal of the mold. The shape of the ePTFE is set by heating. ePTFE, Expanded polytetrafluoroethylene. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 327-332DOI: (10.1016/j.jtcvs.2007.03.030) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 ePTFE patch with 3 sinuses and a tricuspid fan-shaped ePTFE valve. A, Fan-shaped valves were anastomosed to the edge of the bulging sinuses. B, View from inside. Knots functioning as nodules of Arantius were made using ePTFE sutures (black arrow). C, View from outside. D, View from above. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 327-332DOI: (10.1016/j.jtcvs.2007.03.030) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Patients’ body weight and diameter of the conduits. BW, Body weight. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 327-332DOI: (10.1016/j.jtcvs.2007.03.030) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Most recent echocardiogram and cardiocatheterization. Pulmonary regurgitation. Pressure gradients between the right ventricle and the pulmonary artery. BW, Body weight. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 327-332DOI: (10.1016/j.jtcvs.2007.03.030) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Postoperative pulmonary angiograph of 13.3-year-old, 1.8 years after Ross–Konno operation. The pulmonary regurgitation was nonexistent, and the peak pressure gradient between the right ventricle and the pulmonary artery was 10 mm Hg. Fan-shaped valves made of 0.1-mm–thick ePTFE membrane (white arrow). Bulging sinus (black arrow). The Journal of Thoracic and Cardiovascular Surgery 2007 134, 327-332DOI: (10.1016/j.jtcvs.2007.03.030) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions