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November 1973

A Valve-Containing Dacron ProsthesisIts Use in Restoring Pulmonary Artery-Right Ventricular Continuity

Author Affiliations

New York
From the Department of Surgery, Columbia University, College of Physicians and Surgeons, Columbia-Presbyterian Medical Center, New York.

Arch Surg. 1973;107(5):724-728. doi:10.1001/archsurg.1973.01350230076015

Total surgical repair of congenital heart lesions with pulmonary artery-right ventricular discontinuity has required a valve-containing conduit for optimum results. Excellent results have been attained by constructing a new pulmonary valve and artery using human aortic homografts. Certain disadvantages have been noted: difficulty in procurement, limited tissue for tailoring of the prosthesis, difficulty in prevention of distortion, and early calcification of the conduit.

A dacron conduit containing a porcine heterograft aortic valve that does not possess these disadvantages has now been used in five patients for construction of pulmonary artery-right ventricular continuity. This conduit is a uniform product, available in multiple sizes. Follow-up data of up to two years including postoperative catheterization studies demonstrate this prosthesis to be a satisfactory and perhaps a superior alternative to the aortic homograft for restoring pulmonary artery-right ventricular continuity.