Modified Hand-Sewn Polytetrafluoroethylene Bicuspid Valved Conduit for the Reconstruction of Right Ventricle Outflow Tract in Truncus Arteriosus in Infancy: A Case Report

Authors

  • Jianrui Ma Shantou University Medical College, 515041 Shantou, Guangdong, China; Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Hailong Qiu Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Miao Tian Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Wen Xie Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Ying Li Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Zichao Tujia Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Tong Tan Shantou University Medical College, 515041 Shantou, Guangdong, China; Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China; Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vascular Diseases, 100029 Beijing, China
  • Linjiang Han Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Ziqin Zhou Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Shusheng Wen Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Jimei Chen Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Jian Zhuang Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Haiyun Yuan Shantou University Medical College, 515041 Shantou, Guangdong, China; Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China
  • Xiaobing Liu Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 510080 Guangzhou, Guangdong, China; Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510080 Guangzhou, Guangdong, China

DOI:

https://doi.org/10.59958/hsf.6383

Keywords:

truncus arteriosus, right ventricle outflow tract reconstruction, polytetrafluoroethylene, valved conduit, technique

Abstract

The reconstruction of the right ventricle outflow tract in truncus arteriosus remains challenging. The use of valved conduit based on polytetrafluoroethylene has been increasingly popular since the 1990s. Albeit with verified long-term durability, the previous techniques for manufacturing polytetrafluoroethylene valved conduit were relatively cumbersome and time-cost, which at least in part limited its further application. We reported the first successful truncus arteriosus case using a modified and simplified technique for hand-sewing the polytetrafluoroethylene pulmonary bicuspid valved conduit. Eventually, the patient completed the surgery successfully and showed a satisfactory outcome during the 17-month follow-up. Therefore, this technique is a time-saving, reproducible, and reliable approach in truncus arteriosus on the reconstruction of the right ventricle outflow tract.

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Published

2024-02-27

How to Cite

Ma, J., Qiu, H., Tian, M., Xie, W., Li, Y., Tujia, Z., Tan, T., Han, L., Zhou, Z., Wen, S., Chen, J., Zhuang, J., Yuan, H., & Liu, X. (2024). Modified Hand-Sewn Polytetrafluoroethylene Bicuspid Valved Conduit for the Reconstruction of Right Ventricle Outflow Tract in Truncus Arteriosus in Infancy: A Case Report. The Heart Surgery Forum, 27(3), E199-E205. https://doi.org/10.59958/hsf.6383

Issue

Vol. 27 No. 3 (2024)

Section

Case Report
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