Abstract
The analysis of the tactical and technical aspects of the management of patients with dysfunction of biological valve-containing conduits in the position of the pulmonary artery was performed. The article presents a case of successful surgical treatment of a 17-year-old patient with xenopericardial conduit in the excretory venous ventricle, who underwent surgery for a corrected transposition of the main vessels with pulmonary artery atresia, the course of which was complicated by purulent mediastinitis and osteomyelitis of the sternum. Conservative treatment, along with surgical excision of the fistula, had no effect during the year. According to the multispiral computed tomography data, a false aneurysm of the functionally right ventricle was detected. Due to the purulent melting of the sternum, a pulsating formation appeared under the skin. Due to the threat of a pseudoaneurysm rupture, an emergency operation was performed on 01.2024: excision of purulent fistulas, mediastinal sanitation, replacement of the valve-containing pulmonary artery conduit with an aortic homograph in hypothermic artificial circulation with peripheral connection and vacuum assist technology. The wound was healed by primary tension. Outpatient dynamic follow-up for 12 months revealed no recurrence of infection and a good hemodynamic correction result.
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About the authors
- Yuriy A. Sobolev, Cand. Med. Sci., Associate Professor, Cardiovascular Surgeon; ORCID
- Alishir B. Gamzaev, Dr. Med. Sci., Professor, Cardiovascular Surgeon; ORCID
- Vitaliy E. Orlov, Cardiovascular Surgeon; ORCID
- Sergey A. Zhurko, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
