Abstract
Widespread introduction of extracardiac conduits in cardiac surgery practice has made possible the correction of many complex congenital
heart defects Design used in clinical practice extracardiac conduits are constantly improving, but so far the ideal prosthesis
pulmonary artery trunk does not exist. Complications arise in the late postoperative period, determine the need for reoperation.
In a review article analyzes the causes of dysfunction extracardiac conduits, the main indications for repeat surgery are presented,
the currently used methods for the correction of artificial pulmonary artery trunk obstruction are described. Particular attention is paid
to the tactics of surgical treatment of patients with implanted extracardiac conduit and risk factors of poor results of reoperations. An
assessment of the immediate and long-term results of surgical correction of various techniques of artificial pulmonary artery trunk
obstruction is presented in the article.
References
- Подзолков В.П., Зеленикин М.А., Шаталов К.В. Экстракардиальные кондуиты в хирургии врожденных пороков
сердца. М.: НЦССХ им. А.Н. Бакулева РАМН; 2000.
- Бураковский В.И., Чеканов В.С., Красиков Л.И. Протезирование
ствола легочной артерии при тетраде Фалло. Грудная
хирургия. 1976; 5: 3-7.
- БухаринВ.А., ЧекановВ.С., КрасиковЛ.И., МахмудовМ.М.
Протезирование ствола и клапанов легочной артерии: типы
искусственных стволов. Грудная хирургия. 1977; 6: 83-90.
- Подзолков В.П. Первый опыт использования аллоаортальных кондуитов при коррекции врожденных пороков сердца.
Грудная и сердечно-сосудистая хирургия. 1993; 5: 25.
- Schlichter A., Kreutzer C., de Cassia Mayorquim R., Simon J.,
Roman M., Vazquez H. et al. Five- to fifteen-year follow-up of
fresh autologous pericardial valved conduits. J. Thorac.
Cardiovasc. Surg. 2000; 119: 869-79.
- Agarwal K., Edwards W., Feldt R., Danielson G., Puga F.
Clinicopathological correlates of obstructed right-sided
porcine-valved extracardiac conduits. J. Thorac. Cardiovasc.
Surg. 1981; 81: 591-601.
- Jonas R., Freed M., Mayer J., Castaneda A. Long term followup
of patients with synthetic right heart conduits. Circulation.
1985; 72:77-83.
- Askovich B., Hawkins J., Sower C., Minich L . , Tani L . ,
Stoddard G. et al. Right ventricle-to-pulmonary artery conduit
longevity: is it related to allograft size? Ann. Thorac. Surg.
2007; 84: 907-12.
- Бураковский В.И., Подзолков В.П., Зеленикин М.А., Красиков Л.И. Опыт протезирования ствола легочной артерии
в Институте сердечно-сосудистой хирургии им. А.Н. Бакулева АМН СССР. Грудная и сердечно-сосудистая хирургия. 1991; 9: 3-9.
- Зеленикин М.А. Протезирование легочного ствола в хирургии
врожденных пороков сердца: Дис. ... д-ра мед. наук.
М.; 1991.
- Подзолков В.П., Чебан В.Н., Гаджиев А.А., Астраханцева Т.О., Амиркулов Б.Д., Дробот Д.Б. и др. Повторные
операции после радикальной коррекции врожденных пороков сердца. Грудная и сердечно-сосудистая хирургия.
1996; 6: 3-41.
- Кокшенев И.В., Подзолков В.П., Гаджиев А.А., Барчуков
А.Ю., Пурсанов М.Г., Юрлов И.А. и др. Хирургическая
тактика при обструкции кондуитов, имплантированных
больным с врожденными пороками сердца. Грудная и сердечно-сосудистая хирургия. 2000; 4: 4-9.
- Schreiber C., Eicken A., Balling G., Wottke M., Schumacher G., Un PaekS. et al. Single centre experience on primary
correction of common arterial trunk: overall survival and freedom
from reoperation after more than 15 years. Eur. J.
Cardiothorac. Surg. 2000; 18: 68-73.
- Kirklin J.W., Barratt-Boyes B.G. Cardiac Surgery. N.Y.:
Churchill Livingstone; 2004.
- Bielefeld M., Bishop D., Campbell D., Mitchell M., Grover F.,
Clarke D. Reoperative homograft right ventricular outflow tract
reconstruction. Ann Thorac Surg. 2001; 71 (2): 482-7.
- Ruzmetov M., Shah J., Geiss D., Fortuna R. Decellularized versus
standard cryopreserved valve allografts for right ventricular
outflow tract reconstruction: A single-institution comparison.
J. Thorac. Cardiovasc. Surg. 2012; 143.(3): 543-9.
- Koh M., Yagihara T., Uemura H., Kagisaki K., Hagino I.,
Ishizaka T. et al. Long-term outcome of right ventricular outflow
tract reconstruction using a handmade tri-leaflet conduit.
Eur. J. Cardiothorac. Surg. 2005; 27: 807-14.
- Mohammadi S., Belli E., Martinovic I., Houyel L . , Capderou
A., Petit J. et al. Surgery for right ventricle to pulmonary
artery conduit obstruction: risk factors for further reoperation.
Eur. J. Cardiothorac. Surg. 2005; 28: 217-22.
- Brown J., Ruzmetov M., Rodefeld M., Vijay P., Turrentine M.
Right ventricular outflow tract reconstruction with an allograft
conduit in non-Ross patients: risk factors for allograft dysfunction and failure. Ann. Thorac. Surg. 2005; 80: 655-64.
- Dearani J., Danielson G., Puga F., Schaff H., Warnes C.,
Driscoll D. et al. Late follow-up of 1095 patients undergoing
operation for complex congenital heart disease utilizing right
ventricle to pulmonary artery conduits. Ann. Thorac. Surg.
2003; 75: 399-411.
- Homann M., Haehnel J., Mendler N., Un Paek S., Holper K.,
Meisner H. et al. Reconstruction of the RVOT with valved biological conduits: 25 years experience with allografts and
xenografts. Eur. J. Cardiothorac. Surg. 2000; 17: 624-30.
- Bermudez C., Dearani J., Puga F., Schaff H., Warnes C.,
O'Leary P. et al. Late results of the peel operation for replacement of failing extracardiac conduits. Ann. Thorac. Surg.
2004; 77: 881-8.
- Подзолков В.П., Алекян Б.Г., Кокшенев И.В., Чебан В.Н.
Повторные операции после коррекции врожденных пороков сердца. М.: НЦССХ им. А.Н. Бакулева РАМН; 2013.
- Zachariah J., Pigula F., Mayer J., McElhinney D. Right ventricular to pulmonary artery conduit augmentation compared
with replacement in young children. Ann. Thorac. Surg. 2009;
88: 574-80.
- Danielson G., Downing T., Schaff H., Puga F., DiDonato R.,
Ritter D. Replacement of obstructed extracardiac conduits
with autogenous tissue reconstruction. J. Thorac. Cardiovasc.
Surg. 1987; 93: 555-9.
- Cerfolio R., Danielson G., Warnes C., Puga F., Schaff H.,
Anderson B. Results of an autologous tissue reconstruction for
replacement of obstructed extracardiac conduits. J. Thorac.
Cardiovasc. Surg. 1995; 110: 1359-68.
- Stark J., Bull C., Stajevic M., Jothi M., Elliott M., De Leval M.
Fate of subpulmonary homograft conduits: Determinants of
latehomograft failure. J. Thorac. Cardiovasc. Surg. 1998; 115:
506-16.
- Downing T., Danielson G., Schaff H., Puga F., Edwards W.,
Driscoll D. Replacement of obstructed right ventricular-pulmonary arterial valved conduits with nonvalved conduits in
children. Circulation. 1985; 72: 84-7.
- Fiore А., Peigh P., Robinson R. Valved and nonvalved right ventricular-pulmonary arterial extracardial conduits. J. Thorac.
Cardiovasc. Surg. 1983; 86: 490-6.
- Kanter K., Jason M., Parks W., Tam V., Sharma Sh.,
Williams W. et al. One hundred pulmonary valve replacements
in children after relief right ventricular outflow tract obstruction. Ann. Thorac. Surg. 2002; 73: 1801-7.
- Tweddell J., Pelech A., FrommeltP., Mussatto K., Wyman J.,
Fedderly R. et al. Factors affecting longevity of homograft
valves used in right ventricular outflow tract reconstruction
for congenital heart disease. Circulation. 2000; 102: 30-5.
- Forbess J., Shah A., St Louis J., Jaggers J., Ungerleider R.
Cryopreserved homografts in the pulmonary position:
determinants of durability. Ann. Thorac. Surg. 2001;71:
54-9.
- Meyns B., Jashari R., Gewillig M., Mertens L . , Komarek A.,
Lesaffre Е. et al. Factors influencing the survival of cryopreserved
homografts: the second homograft performs as well as
the first. Eur. J. Cardiothorac. Surg. 2005; 28: 211-6.
- Rodefeld M., Ruzmetov M., Turrentine M., Brown J.
Reoperative right ventricular outflow tract conduit reconstruction: risk analyses at follow up. J. Heart Valve Dis. 2008; 17:
119-26.
- DeLeon S., Tuchek J., Bell T., Hofstra J., Hofstra J., Vitullo D.,
Quinones J. et al. Early pulmonary homograft failure from
dilatation due to distal pulmonary artery stenosis. Ann.
Thorac. Surg. 1996; 61: 234-7.
- Karamlou T., Ungerleider R., Alsoufi B., Burch G., Silberbach
M., Reller M. et al. Oversizing pulmonary homograft conduits does not significantly decrease allograft failure in children. Eur. J. Cardiothorac. Surg. 2005; 27: 548-53.
