Replacement of a stenotic/irregular right ventricle to pulmonary artery Gore-Tex trileaflet graft with a novel KONECT RESILIA Aortic Valved Conduit. This is the only tissue valved conduit currently in use. This patient has d-transposition of the great arteries along with ASD, VSD, pulmonary stenosis, bovine left arch and aberrant right subclavian arteries.
His previous operations include MBTS 4mm Gore-Tex graft, urgent shunt revision secondary to thrombosis and subsequent conversion to a 4mm central shunt, right atrial thrombectomy secondary to indwelling right atrial catheter, takedown of central shunt, primary pledgeted closure of pulmonary valve, Gore-Tex patch closure of ASD/VSD, Rastelli procedure with 24mm Gore-Tex trileaflet with bulging sinuses graft.
Right ventricle to pulmonary artery conduit replacement in a patient with d-transposition of the great arteries. This procedure was performed using a novel KONECT RESILIA Aortic Valved Conduit. This is changing the way valved conduits are performed as traditionally the graft and tissue valve are separate and must be sutured together once they are brought onto the field.
Indications include stenosis of the old conduit resulting in a large gradient across the valve along with aliasing of flow as seen on echocardiography. Additional cross sectional imaging demonstrates severe stenosis and luminal irregularity. This further demonstrated the need for replacement of the conduit.
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EKG, echocardiography, CT scan
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Bleeding, pericardial effusion, arrhythmia
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Review RV-PA Conduit Replacement in d-TGA. Cancel reply
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Institution: University of Arkansas for Medical Sciences
Authors:
Thomas Heye – teheye@uams.edu
Lawrence Greiten MD – lgreiten@uams.edu
Christian Eisenring ACNP-BC -EisenringC@archildrens.org
Review RV-PA Conduit Replacement in d-TGA.