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Right Ventricular Outflow Tract Reconstructions

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Cardiac Reconstructions with Allograft Valves

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Abstract

The development of the extracardiac conduit for reconstruction of “blue” ventricle to pulmonary artery continuity has revolutionized the surgery of many complex congenital cardiac defects.1–5 In infants with anomalies such as tetralogy of Fallot, nonvalved reconstruction of the right ventricular outflow has been well tolerated with a low early reoperation rate (e. g., 100% reoperation-free at 4 years in the Boston Children’s Hospital series).6 However, patients developing progressive right ventricular dilatation have required later replacement with a valved prosthesis. Other anatomic situations, particularly that of pulmonary atresia or pulmonary atresia accompanying other defects (e.g., corrected transposition) that have usually been repaired during childhood rather than infancy, have done best with right ventricular outflow tract reconstructions utilizing valved conduits (Rastelli concept).

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Authors
  1. Richard A. Hopkins
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© 1989 Springer-Verlag New York Inc.

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Hopkins, R.A. (1989). Right Ventricular Outflow Tract Reconstructions. In: Cardiac Reconstructions with Allograft Valves. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3568-2_7

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  • DOI: https://doi.org/10.1007/978-1-4612-3568-2_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8159-7

  • Online ISBN: 978-1-4612-3568-2

  • eBook Packages: Springer Book Archive

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