Midterm outcomes of right ventricular outflow tract reconstruction using the Freestyle xenograft.
Adolescent
Animals
Bioprosthesis
Cardiac Catheterization
Child
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation
/ methods
Heart Ventricles
/ diagnostic imaging
Heterografts
Humans
Male
Prosthesis Design
Pulmonary Valve
/ diagnostic imaging
Retrospective Studies
Swine
Time Factors
Treatment Outcome
Ventricular Outflow Obstruction
/ diagnosis
bioprosthetic valve
right ventricular outflow tract reconstruction
Journal
Congenital heart disease
ISSN: 1747-0803
Titre abrégé: Congenit Heart Dis
Pays: United States
ID NLM: 101256510
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
16
01
2019
revised:
07
02
2019
accepted:
13
02
2019
pubmed:
13
3
2019
medline:
28
1
2020
entrez:
13
3
2019
Statut:
ppublish
Résumé
Various options exist for right ventricular outflow tract (RVOT) reconstruction in congenital heart disease. The Freestyle porcine aortic root may be used but its longevity is not well defined. We performed a retrospective review of all non-Ross RVOT reconstructions using the Freestyle root in our institution. Survival and reintervention, either by surgery, transcatheter valve implantation, balloon valvuloplasty, or bare metal stent placement, were recorded. Factors associated with reintervention were assessed using Cox regression. Between January 2002 and December 2015, there were 182 patients identified. Sixteen patients were lost to follow-up and 3 patients died, unrelated to cardiac surgery. Of the remaining 163 patients, the median age was 12.2 years (interquartile range 6.4-16.4), median weight was 39.0 kg (interquartile range 19.9-59.3), and the median body surface area was 1.23 m The Freestyle root in the RVOT is associated with excellent survival and low midterm need for reintervention. Its longevity is comparable to published data on homografts and other bioprosthetic valves.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
651-656Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
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