We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Contegra conduit: Late outcomes in right ventricular outflow tract reconstruction.
- Authors
Holmes, Anthony A.; Co, Steve; Human, Derek G.; LeBlanc, Jacques G.; Campbell, Andrew IM.
- Abstract
Objectives : To report the clinical outcomes (early death, late death, and rate of reintervention) and performance of the Contegra conduit as a right ventricle outflow tract implant and to determine the risk factors for early reintervention. Methods : Forty-nine Contegra conduits were implanted between January 2002 and June 2009. Data collection was retrospective. The mean age and follow-up duration of Contegra recipients was 3.5 ± 4.6 years and 4.2 ± 2.0 years, respectively. Results : There were three deaths (two early, one late), giving a survival rate of 93.9%. The rate of conduit-related reintervention was 19.6% and was most often due to distal conduit stenosis. Age at implantation of <3 months, receipt of a conduit of 12-16 mm diameter, and a diagnosis of truncus arteriosus were each significant contributors to the rate of reintervention. Conclusion : The Contegra is a cost-effective and readily available solution. However, there is a limited range of larger calibers, which means that the homograft conduit (>22 mm) remains the first choice of implant in older children. The rates of reintervention are significantly higher with a diagnosis of truncus arteriosus, age at implantation of <3 months, and implantation of conduits sized 12-16 mm.
- Subjects
BRITISH Columbia; RIGHT heart ventricle; PLASTIC surgery; MEDICAL records; RETROSPECTIVE studies; DESCRIPTIVE statistics; KAPLAN-Meier estimator; SURGERY
- Publication
Annals of Pediatric Cardiology, 2012, Vol 5, Issue 1, p27
- ISSN
0974-2069
- Publication type
Article
- DOI
10.4103/0974-2069.93706