Division of Cardiovascular Surgery Department of Surgery Geneva University Hospitals & Faculty of Medicine Geneva, Switzerland.
University Hospital Lausanne - Switzerland University Hospital Geneva - Switzerland.
Multimed Man Cardiothorac Surg. 2020 Dec 24;2020. doi: 10.1510/mmcts.2020.079.
Truncus arteriosus, an anomaly of the conotruncus, is an extremely rare congenital heart disease that affects 1.19% of all patients with congenital heart diseases. We present a surgical technique using an 8-mm cryopreserved aortic root homograft in the aortic position and a 12-mm pulmonary valved conduit in the right position that allowed us to correct this rare congenital malformation. The cryopreserved aortic root homograft was considered a priority option for surgical correction. The neonatal Bentall (micro-Bentall) procedure is a surgically demanding procedure but can be performed successfully by an experienced surgeon. If we were performing a non-salvage procedure, we would have chosen a decellularized allograft.
动脉干,是共同动脉干的一种异常,是一种极其罕见的先天性心脏病,影响所有先天性心脏病患者的 1.19%。我们提出了一种使用 8mm 冷冻保存主动脉根部同种移植物在主动脉位置和 12mm 肺动脉带瓣管道在右位置的手术技术,这使得我们能够纠正这种罕见的先天性畸形。冷冻保存主动脉根部同种移植物被认为是手术矫正的首选方案。新生儿 Bentall(微型 Bentall)手术是一种技术要求很高的手术,但可以由有经验的外科医生成功完成。如果我们进行非抢救性手术,我们会选择去细胞化同种异体移植物。