Avoiding compression of extracardiac valved conduits.

Abstract:

:Extracardiac valved conduits are routinely employed in the correction of complex congenital heart lesions. Compression of a conduit and/or of the heart may present serious operative and postoperative complications. We believe its occurrence can be minimized and hemodynamic results improved by adhering to simple surgical techniques. It is important to select a conduit which will produce minimal resistance to flow. Partial or subtotal thymectomy may increase the mediastinal space to accommodate the conduit. The conduit should be cut into the appropriate shape and should be placed in such a way that it does not cross the midline. Finally, the posterior pericardium may be opened to allow the heart to move posteriorly and to rotate to the left, thus moving the conduit away from the sternum.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Dunn JM,Stark J,de Leval M

doi

10.1007/BF02242263

subject

Has Abstract

pub_date

1983-07-01 00:00:00

pages

235-8

issue

3

eissn

0172-0643

issn

1432-1971

journal_volume

4

pub_type

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