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Eur J Cardiothorac Surg 2003;23:122-124
© 2003 Elsevier Science NL
Case report |
a Department of Pediatric Cardiology, Necker Hospital for Sick Children, 75743 Paris, Cedex 15, France
b Department of Cardiovascular and Thoracic Surgery, Necker Hospital for Sick Children, Paris, France
Received 1 August 2002; received in revised form 30 September 2002; accepted 1 October 2002.
* Corresponding author. Tel.: +33-1-4449-4356; fax: +33-1-4449-5724
e-mail: younes.boudjemline{at}nck.ap-hop-paris.fr
A case of aneurysm of the right ventricular outflow tract is described after repair of tetralogy of Fallot using a Contegra supported conduit. Angiograms revealed that the aneurysm was located between the ventricular anastomosis and the proximal ring of the conduit confirming echocardiographic data. Because the conduit between the rings was not dilated, the valve was perfectly functioning. Pulmonary anastomosis was severely stenosed explaining the dilatation seen below. Conduit replacement with resection of the aneurysmal part of the failing conduit was performed. Supported conduits do not eliminate the risk of secondary dilatation below the artificial ring but preserve valvular function.
Key Words: Pulmonary valved conduit • Contegra® bovine jugular vein graft • Homograft • Xenograft • Right ventricular outflow tract reconstruction • Aneurysm
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