{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T18:41:17Z","timestamp":1759430477697,"version":"build-2065373602"},"reference-count":51,"publisher":"IMR Press","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<jats:p>Background: The reconstruction of the right ventricular outflow tract (RVOT) in congenital heart disease has attracted the interest of cardiac surgeons determined to alleviate the anatomic obstruction and restore RV function.Methods: From June 1991 to September 2008, 203 consecutive patients (mean, 3.0 years; range, 2 months to 35 years) underwent operations. These patients were classified into 5 groups: group 1, tetralogy of Fallot with pulmonary hypoplasia (144 cases, 70.9%); group 2, pulmonary atresia (PA) with ventricular septal defect (VSD) (32 cases, 15.7%); group 3, truncus arteriosus (12 cases, 5.9%); group 4, transposition of the great arteries with left ventricular outflow tract obstructions (8 cases, 3.9%); and group 5, PA with intact ventricular septum (7 cases, 3.4%). Remodeling surgery of the RV consisted of patch closure of the VSD (n = 176), tricuspid valvoplasty repair (n = 25), infundibulum muscle resection, and reconstruction of the RVOT (all patients). The Lecompte procedure was performed in 8 patients in group 4, and the one and a half ventricle technique was performed in 7 patients in group 5.Results: There were 21 hospital deaths (10.3%); 180 patients (88.6%) survived. Patients were followed up from 4 to 206 months (mean, 98.0 months). Sixteen patients (8.8%) underwent reoperation for prosthesis dysfunction, with 2 inhospital deaths (12.5%). The rest of the patients (164, 80.7%) remain free of reoperation.Conclusion: Earlier reconstruction of the pulmonary valve and the RVOT may preserve ventricular performance for a long period. Nevertheless, the porcine pulmonary prosthesis has shown satisfactory results when it has been used for the reconstruction of different types of RV obstructions.<\/jats:p>","DOI":"10.1532\/hsf98.20101041","type":"journal-article","created":{"date-parts":[[2011,2,23]],"date-time":"2011-02-23T23:13:40Z","timestamp":1298502820000},"page":"40","source":"Crossref","is-referenced-by-count":1,"title":["Use of Right Ventricular Remodeling Surgery with a Porcine Pulmonary Prosthesis for Congenital Heart Disease"],"prefix":"10.31083","volume":"14","author":[{"given":"Miguel A.","family":"Maluf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio C. C.","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Werther B.","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2011,2,23]]},"reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/S0022-5223(19)34120-0","article-title":"Conduit reconstruction of the right ventricle outflow tract. Lessons learned in a twenty-year experience","volume":"106","author":"J. Albert","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0022-5223(95)70282-2","article-title":"Outcome of pulmonary and aortic homografts for right ventricular outflow tract reconstruction","volume":"109","author":"K. Bando","year":"1995","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/S0102-76381989000100001","article-title":"T\u00e9cnica para corre\u00e7\u00e3o do truncus arteriosus I, II sem conduto extracard\u00edaco","volume":"4","author":"M. Barbero-Marcial","year":"1989","journal-title":"Rev Bras Cir Cardiovasc"},{"key":"4","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/S1010-7940(02)00660-7","article-title":"Aneurysm of the right ventricular outflow following bovine valved venous conduit insertion","volume":"23","author":"Y. Boudjemline","year":"2003","journal-title":"Eur J Cardiothorac Surg"},{"key":"5","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/S0003-4975(02)03728-1","article-title":"Early results of valved bovine jugular vein conduit versus bicuspid homograft for right ventricular outflow tract reconstruction","volume":"74","author":"T. 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Brown","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"9","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/S0022-5223(19)36313-5","article-title":"Evolution of long-term results of homograft and heterograft valves in extracardiac conduits","volume":"94","author":"C. Bull","year":"1987","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1136\/hrt.67.6.470","article-title":"Exercise capacity after complete repair of tetralogy of Fallot: deleterious effects of residual pulmonary regurgitation","volume":"67","author":"J. Carvalho","year":"1992","journal-title":"Br Heart J"},{"key":"11","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1001\/archsurg.1956.01280030152018","article-title":"Complete anatomical correction of the tetralogy of Fallot defects: report of successful surgical case","volume":"73","author":"M. Cohen","year":"1956","journal-title":"AMA Arch Surg"},{"key":"12","doi-asserted-by":"crossref","first-page":"2044","DOI":"10.1016\/S0735-1097(02)02566-4","article-title":"Right ventricular function in adults with repaired tetralogy of Fallot assessed with cardiovascular magnetic resonance imaging: detrimental role of right ventricular outflow aneurysms or akinesia and adverse right-to-left ventricular interaction","volume":"40","author":"P. Davlouros","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"13","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/S0022-5223(19)42835-3","article-title":"Homograft of pulmonary artery or ascending aorta with valve as a right ventricular outflow","volume":"56","author":"S. Eguchi","year":"1968","journal-title":"J Thorac Cardiovasc Surg"},{"key":"14","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/S0003-4975(10)65274-5","article-title":"Use of valve-retaining homograft and heterograft patch for reconstruction of right ventricular outflow tract","volume":"14","author":"S. Eguchi","year":"1972","journal-title":"Ann Thorac Surg"},{"key":"15","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1161\/01.CIR.54.3.417","article-title":"Right ventricular volume characteristics before and after palliative and reparative operation in tetralogy of Fallot","volume":"54","author":"T. Graham, Jr","year":"1976","journal-title":"Circulation"},{"key":"16","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1016\/S0735-1097(97)00316-1","article-title":"Sustained ventricular tachycardia in adult patients late after repair of tetralogy of Fallot","volume":"30","author":"D. Harrison","year":"1997","journal-title":"J Am Coll Cardiol"},{"key":"17","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1016\/S0022-5223(19)34671-9","article-title":"Midterm results with cryopreserved allograft valved conduits from the right ventricle to the pulmonary arteries","volume":"104","author":"J. Hawkins","year":"1992","journal-title":"J Thorac Cardiovasc Surg"},{"key":"18","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/S1010-7940(01)00656-X","article-title":"Pulmonary valve insertion late after repair of Fallot's tetralogy","volume":"19","author":"M. Hazekamp","year":"2001","journal-title":"Eur J Cardiothorac Surg"},{"key":"19","first-page":"36","article-title":"Factors that exaggerate the deleterious effects of pulmonary insufficiency on the right ventricle after tetralogy repair. Surgical implications","volume":"93","author":"M. Ilbawi","year":"1987","journal-title":"J Thorac Cardiovasc Surg"},{"key":"20","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/S0022-5223(19)36477-3","article-title":"Experience with St. Jude Medical valve prosthesis in children. A word of caution regarding right-sided placement","volume":"93","author":"M. Ilbawi","year":"1987","journal-title":"J Thorac Cardiovasc Surg"},{"volume-title":"Cardiac surgery","year":"2003","author":"J. Kirklin","key":"21"},{"key":"22","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/S0022-5223(19)34750-6","article-title":"In vitro closing behavior of the St. Jude Medical heart valve in the pulmonary position. Valve incompetence originating in the prosthesis itself","volume":"104","author":"Y. Kiyota","year":"1992","journal-title":"J Thorac Cardiovasc Surg"},{"key":"23","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1017\/S104795110000010X","article-title":"R\u00e9paration \u00e1 l'\u00e9tage ventriculaire\u2014the REV procedure: technique and clinical results","volume":"1","author":"Y. Lecompte","year":"1991","journal-title":"Cardiol Young"},{"key":"24","unstructured":"Maluf MA. 1991. Reconstru\u00e7\u00e3o da via de sa\u00edda do ventr\u00edculo direito compr\u00f3tese bivalvulada ou tubular valvada, pulmonar su\u00edna. Estudo experimental em ovinos [PhD thesis]. S\u00e3o Paulo, Brazil: Universidade Federal de S\u00e3o Paulo."},{"key":"25","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1590\/S0102-76382009000500021","article-title":"Late outcome of right ventricular outflow tract repair using bicuspid pulmonary prosthesis in tetralogy of Fallot surgery repair: case report","volume":"24","author":"M. Maluf","year":"2009","journal-title":"Rev Bras J Cardiovasc Surg"},{"key":"26","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1016\/S0003-4975(00)01933-0","article-title":"Reconstruction of the pulmonary valve and right ventricular outflow tract with bicuspid prosthesis in tetralogy of Fallot","volume":"70","author":"M. Maluf","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"27","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1136\/thx.22.6.497","article-title":"The use of a cusp-bearing homograft patch to the outflow tract and pulmonary artery in Fallot's tetralogy and pulmonary valvular stenosis","volume":"22","author":"P. Marchand","year":"1967","journal-title":"Thorax"},{"key":"28","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/0002-9149(92)90506-T","article-title":"Right ventricular overload and induced sustained ventricular tachycardia in operatively \"repaired\" tetralogy of Fallot","volume":"69","author":"P. 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Quintessenza","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"40","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0022-5223(19)42568-3","article-title":"Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis","volume":"58","author":"G. Rastelli","year":"1969","journal-title":"J Thorac Cardiovasc Surg"},{"key":"41","first-page":"889","article-title":"Pulmonary valve replacement: a role for mechanical prostheses?","volume":"65","author":"L. Rosti","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"42","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/S0022-5223(19)34183-2","article-title":"Superior function of a bicuspid over a monocuspid patch for reconstruction of a hypoplastic pulmonary root in pigs","volume":"105","author":"H. 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