Aortic Arch Reconstruction Using Nonvalved Femoral Vein Homograft in High-Risk Neonates

Aortic arch obstruction is often present with complex concomitant congenital heart defects (CHDs). The use of nonvalved femoral vein homograft (FVH) to reconstruct the aortic arch has distinct surgical advantages, including simplified reconstruction. We present an intraoperative video of a Yasui pro...

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Bibliographic Details
Published in:World journal for pediatric & congenital heart surgery 2023-11, Vol.14 (6), p.754-756
Main Authors: Mitchell, Kyle G., Dobrila, Julija, Podgorsek, Blaz, Greenleaf, Christopher, Chen, Peter, Salazar, Jorge D., LaPar, Damien J.
Format: Article
Language:English
Subjects:
Allografts
Aorta, Thoracic - surgery
Aortic Coarctation - surgery
Femoral Vein
Heart Defects, Congenital - surgery
Humans
Infant, Newborn
Ventricular Outflow Obstruction - surgery
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Summary:Aortic arch obstruction is often present with complex concomitant congenital heart defects (CHDs). The use of nonvalved femoral vein homograft (FVH) to reconstruct the aortic arch has distinct surgical advantages, including simplified reconstruction. We present an intraoperative video of a Yasui procedure utilizing FVH for aortic reconstruction in a 12-day-old (2.2 kg) neonate with right ventricular outflow tract obstruction, malalignment ventricular septal defect, aortic valve atresia, aortic arch hypoplasia, atrial septal defect, and ductal dependent systemic circulation. Further, we report outcomes for a series of three additional neonatal patients with complex CHD and aortic arch obstruction who underwent FVH arch reconstruction.
ISSN:2150-1351
2150-136X
DOI:10.1177/21501351231176256