Replacement of Obstructed Right Ventricle to Pulmonary Artery Conduits: The Modified Peel Operation

Reconstruction of the right outflow tract with extracardiac conduits has made complete repair of complex cardiac malformations possible. However, reoperation is usually required for a right ventricle-to-pulmonary artery conduit obstruction. We describe a modified peel operation, where the sides and...

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Bibliographic Details
Published in:World journal for pediatric & congenital heart surgery 2023-05, Vol.14 (3), p.371-374
Main Authors: Cervantes-Salazar, Jorge L, Flores-Sarria, Iris P, Ortega-Zhindón, Diego B, Calderón-Colmenero, Juan, Benita-Bordes, Antonio, Martínez-Guerrero, Josue
Format: Article
Language:English
Subjects:
Heart Defects, Congenital - surgery
Heart Valve Prosthesis
Heart Ventricles - surgery
Humans
Pulmonary Artery - surgery
Reoperation
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Summary:Reconstruction of the right outflow tract with extracardiac conduits has made complete repair of complex cardiac malformations possible. However, reoperation is usually required for a right ventricle-to-pulmonary artery conduit obstruction. We describe a modified peel operation, where the sides and posterior half of the previously placed conduit are preserved, and a prosthetic roof is placed over the conduit remnant. This has been our current technique to manage conduit obstructions. It is a safe operation and to teach residents. This review aims to convey the technical details of each step of this technique.
ISSN:2150-1351
2150-136X
DOI:10.1177/21501351231157587