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Systemic Pulmonary Artery Shunt Using a Bovine Mesenteric Venous Graft in Newborns
Author(s) -
Kalangos Afksendiyos,
Beghetti Maurice,
Pache JeanClaude,
Vala Dominique,
Faidutti Bernard
Publication year - 2000
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2000.tb01284.x
Subject(s) - medicine , anastomosis , surgery , pulmonary artery , calcification , shunt (medical) , intimal hyperplasia , artery , superior mesenteric vein , inferior mesenteric vein , superior mesenteric artery , radiology , cardiology , portal vein , smooth muscle
A bstract A new bovine mesenteric venous graft 3 or 4 mm in diameter was used for performing systemic pulmonary artery shunts in six cyanotic newborns (aged 2 to 30 days) from March 1997 onward. Clinical and echocardiographic studies proved that all shunts were patent and functioning well after an average of 8.8 months despite no postoperative anti‐coagulation or antiplatelet regimen. Histological examination of two grafts explanted at the time of bidirectional cavopulmonary anastomosis showed no dense fibrotic mural infiltration, calcification, or anastomotic hyperplasia. Bovine mesenteric venous grafts can be used for the construction of systemic pulmonary artery shunts with advantages similar to that of human vein allografts, such as the facility of implantation, good short‐ and mid‐term patency, easy takedown, and avoidance of complications presumably specific to polytetraflu‐oroethylene.