Pulmonary Homograft Monocusp Reconstruction of the Right Ventricular Outflow Tract: Outcomes to the Intermediate Term Dilip S. Nath, MD, Daniel P. Nussbaum,

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Presentation transcript:

Pulmonary Homograft Monocusp Reconstruction of the Right Ventricular Outflow Tract: Outcomes to the Intermediate Term Dilip S. Nath, MD, Daniel P. Nussbaum, BS, Christopher Yurko, BS, Omar M. Ragab, BS, Angela J. Shin, BS, S. Ram Kumar, MD, PhD, Vaughn A. Starnes, MD, Winfield J. Wells, MD The Annals of Thoracic Surgery Volume 90, Issue 1, Pages 42-49 (July 2010) DOI: 10.1016/j.athoracsur.2010.03.045 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Image of a thawed pulmonary homograft monocusp (PHM). (B) Illustration of a thawed PHM marked for trimming. The Annals of Thoracic Surgery 2010 90, 42-49DOI: (10.1016/j.athoracsur.2010.03.045) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Image of a pulmonary homograft monocusp (PHM) prepared for implantation. (B) Illustration of a PHM prepared for implantation. The Annals of Thoracic Surgery 2010 90, 42-49DOI: (10.1016/j.athoracsur.2010.03.045) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The pulmonary homograft monocusp sewn into place as a transannular right ventricular outflow tract patch. The Annals of Thoracic Surgery 2010 90, 42-49DOI: (10.1016/j.athoracsur.2010.03.045) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Kaplan-Meier curve depicting patient survival after pulmonary homograft monocusp (PHM) reconstruction. The number of at risk patients is noted in parenthesis at time 0, 3 years, 5 years, and 10 years. Data are represented as mean ± SEM. (B) Kaplan-Meier curve depicting freedom from pulmonary valve (PV) replacement. The number of at risk patients is noted in parenthesis at time 0, 3 years, 5 years, and 10 years. Data are represented as mean ± SEM. The Annals of Thoracic Surgery 2010 90, 42-49DOI: (10.1016/j.athoracsur.2010.03.045) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions