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Early Clinical Outcomes Of Right Ventricular Outflow Tract Reconstruction With Small Caliber Bovine Jugular Vein Conduit (Contegra®) In Small Children

T. Kido, T. Hoashi, K. Kagisaki, Toshiki Fujiyoshi, M. Kitano, K. Kurosaki, I. Shiraishi, T. Yagihara, Y. Sawa, H. Ichikawa
Published 2016 · Medicine

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This study reviewed early clinical outcomes of right ventricular outflow tract reconstruction with Contegra® valved conduits in pediatric patients. Between April 2013 and July 2014, thirteen pediatric patients underwent right ventricular outflow tract reconstruction with Contegra valved conduits. The size of the implanted conduits were 12 mm in 5 patients, 14 mm in 3, 16 mm in 3, and then 2 patients were implanted with bicuspidized conduits for downsizing the conduit to 9 and 10 mm in each. Follow-ups were completed in all patients. One conduit was explanted 7 days after a neonatal biventricular repair for Ebstein’s anomaly and pulmonary atresia, timed to be at the point of conversion to a single ventricular palliation. Among the 5 patients who developed significant pulmonary insufficiency and/or conduit stenosis, 3 patients exhibited persistent pulmonary hypertension. Both the bicuspidized conduits resulted in early pulmonary insufficiency. One patient implanted with a ring-supported conduit developed coronary artery stenosis, caused by suppression between the ring of the implanted conduit and the annulus of the mechanical vale. Although the small caliber Contegra valved conduit might be an alternative to RVOT reconstruction, the indication should be carefully considered. More than mild pulmonary hypertension, and low body weight at operation of less than 3.0 kg caused early conduit dysfunction.
This paper references
10.1016/S1010-7940(03)00509-8
Surprising outcome similarities between Contegra bovine jugular vein conduit and Shelhigh No-React porcine pulmonary valve conduit: role of immunologic reaction.
Y. Boudjemline (2003)
10.1016/J.ATHORACSUR.2004.02.095
Bovine valved xenograft in pulmonary position: medium-term follow-up with excellent hemodynamics and freedom from calcification.
A. Corno (2004)
10.1111/j.0886-0440.2004.04083.x
The Contegra Bovine Valved Jugular Vein Conduit for Pediatric RVOT Reconstruction:
T. Breymann (2004)
10.1016/J.JTCVS.2004.08.015
The Contegra conduit in the right ventricular outflow tract induces supravalvular stenosis.
B. Meyns (2004)
10.1016/J.EJCTS.2005.01.060
Long-term outcome of right ventricular outflow tract reconstruction using a handmade tri-leaflet conduit.
M. Koh (2005)
10.1016/J.ATHORACSUR.2005.02.053
Right ventricular outflow tract reconstruction with an allograft conduit in non-ross patients: risk factors for allograft dysfunction and failure.
J. Brown (2005)
10.1016/J.JTCVS.2006.03.061
Encouraging results for the Contegra conduit in the problematic right ventricle-to-pulmonary artery connection.
D. Morales (2006)
10.1016/J.EJCTS.2005.11.040
Right ventricular outflow tract reconstruction using Contegra valved conduit: natural history and conduit performance under pressure.
S. Shebani (2006)
10.1016/J.ATHORACSUR.2006.04.071
Bovine jugular vein conduit for right ventricular outflow tract reconstruction: evaluation of risk factors for mid-term outcome.
A. Rastan (2006)
10.1016/J.EJCTS.2006.06.028
Erratum to “Right ventricular outflow tract reconstruction using Contegra® valved conduit: Natural history and conduit performance under pressure” [Eur J Cardiothorac Surg 29 (2006) 397–405]
S. Shebani (2006)
10.1016/J.ATHORACSUR.2006.03.008
Valved bovine jugular vein conduits for right ventricular outflow tract reconstruction in children: an attractive alternative to pulmonary homograft.
J. Brown (2006)
10.1016/J.ATHORACSUR.2007.04.026
Right ventricular outflow tract reconstruction with the bovine jugular vein graft: 5 years' experience with 133 patients.
N. Sekarski (2007)
10.1016/j.ejcts.2007.12.052
Jugular venous valved conduit (Contegra) matches allograft performance in infant truncus arteriosus repair.
E. Hickey (2008)
10.1016/j.athoracsur.2008.04.104
True aneurysmal dilatation of a contegra conduit after right ventricular outflow tract reconstruction: a novel mechanism of conduit failure.
V. Bautista-Hernandez (2008)
10.1055/s-0029-1185513
European Contegra multicentre study: 7-year results after 165 valved bovine jugular vein graft implantations.
T. Breymann (2009)
10.1016/j.athoracsur.2010.04.072
Performance of bicuspidized pulmonary allografts compared with standard trileaflet allografts.
T. Shih (2010)
10.1016/j.athoracsur.2011.02.073
A bovine jugular vein conduit: a ten-year bi-institutional experience.
A. Fiore (2011)
10.1016/j.athoracsur.2010.07.058
Risk factor analysis of 170 single-institutional contegra implantations in pulmonary position.
H. Dave (2011)
10.1016/j.jtcvs.2011.08.018
Expanded polytetrafluoroethylene conduits and patches with bulging sinuses and fan-shaped valves in right ventricular outflow tract reconstruction: multicenter study in Japan.
Takako Miyazaki (2011)
10.1016/j.athoracsur.2011.10.057
Assessment of the relationship between Contegra conduit size and early valvar insufficiency.
K. Gist (2012)
10.1016/j.athoracsur.2013.01.039
Downsized Contegra graft as a right ventricle-to-pulmonary artery conduit in the setting of mediastinitis.
R. Maciver (2013)
Multicenter study in Japan
T Miyazaki (2016)



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