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George M. Alfieris, MD, James J. Gangemi, MD, Mathew P

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Presentation on theme: "George M. Alfieris, MD, James J. Gangemi, MD, Mathew P"— Presentation transcript:

1 Modified Repair of Truncus Arteriosus to Maintain Pulmonary Artery Architecture 
George M. Alfieris, MD, James J. Gangemi, MD, Mathew P. Schiralli, MD, Michael F. Swartz, PhD, Jill M. Cholette, MD  The Annals of Thoracic Surgery  Volume 90, Issue 3, Pages (September 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A transverse incision is made onto the common trunk extending out onto the left pulmonary artery allowing visualization of the aorta pulmonary window, the branch pulmonary arteries, and the truncal valve. The truncal root is septated using a 0.4-mm polytetrafluoroethylene patch and running 6-0 Prolene suture (Ethicon, Somerville, NJ). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The ventricular septal defect is closed through a right ventriculotomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 An appropriate sized aortic homograft establishes continuity between the right ventricle and the pulmonary arteriotomy. The angled nature of the arch of the distal aortic homograft allows the conduit to sit in a position similar to the native pulmonary artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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