{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:12:40Z","timestamp":1771035160932,"version":"3.50.1"},"reference-count":34,"publisher":"IMR Press","issue":"3","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Cardiovasc. Med."],"abstract":"<jats:p>Objective: The study aims to evaluate the feasibility and effectiveness of an individualized procedure for right ventricular outflow tract (RVOT) reconstruction in pulmonary atresia with ventricular septal defect (PA-VSD). Methods: RVOT was reconstructed using autologous pulmonary artery tissue preserved in situ as the posterior wall and a bovine jugular vein patch (BJVP) as the anterior wall in patients with PA-VSD (observation group). The size of the BJVP made from a bovine jugular vein conduit (BJVC) was individually calculated using a formula based on the child\u2019s weight and the size of the autologous pulmonary artery (the diameter of BJVC DB\u2062J\u2062V\u2062C = Dt\u2062h\u2062e\u2062o\u2062r\u2062e\u2062t\u2062i\u2062c\u2062a\u2062l-W\u2062z^-4\u03c0). Its effect was then compared with the conventional modified Rastelli procedure based on the BJVC (control group). Results: A total of 22 patients that underwent the new procedure were simultaneously compared with the 25 patients in the control group. No deaths occurred in both groups. Notably, there were no significant differences in mechanical ventilation, ICU and postoperative residence, cardiopulmonary bypass, and aortic cross-clamp time. In the follow-up, which spanned for 8\u201312 years (mean 9.2 years), only four cases with moderate regurgitation were noted in the observation group without obstruction. In the control group, two patients had a conduit replacement. Three patients suffered from anastomotic stenosis, which was corrected by balloon dilatation. Conclusion: Individualized RVOT reconstruction with autologous pulmonary tissue preserved in situ as the posterior wall is adequate for treating PA-VSD.<\/jats:p>","DOI":"10.31083\/j.rcm2303085","type":"journal-article","created":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T09:30:40Z","timestamp":1647595840000},"source":"Crossref","is-referenced-by-count":1,"title":["Individualized right ventricular outflow tract reconstruction using autologous pulmonary tissue in situ for the treatment of pulmonary atresia with ventricular septum defect"],"prefix":"10.31083","volume":"23","author":[{"given":"Ming","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"},{"name":"Department of the Cardiovascular Surgery, Hunan Provincial People's Hospital, 410005 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengming","family":"Fan","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Hunan Children's Hospital, 410007 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chukwuemeka Daniel","family":"Iroegbu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wangping","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Hunan Children's Hospital, 410007 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mi","family":"Tang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xun","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunle","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun","family":"Xiang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenwu","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of the Cardiovascular Surgery, Hunan Provincial People's Hospital, 410005 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinfu","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 410011 Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Leonard H, Derrick G, O\u2019Sullivan J, Wren C. Natural and unnatural history of pulmonary atresia. Heart. 2000; 84: 499\u2013503.","DOI":"10.1136\/heart.84.5.499"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Lillehei CW., Cohen M, Warden HE, Read RC, Aust JB, Dewall RA, et al. Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot, and pulmonary atresia defects; report of first ten cases. Annals of Surgery. 2003; 142: 418\u2013442.","DOI":"10.1097\/00000658-195509000-00010"},{"key":"ref3","unstructured":"Rastelli GC, Ongley PA, Davis GD, Kirklin JW. Surgical Repair for Pulmonary Valve Atresia with Coronary-Pulmonary Artery Fistula: Report of Case. Mayo Clinic Proceedings. 1996; 40: 521\u2013527."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Ross DN, Somerville J. Correction of pulmonary atresia with a homograft aortic valve. Lancet. 1967; 2: 1446\u20131447.","DOI":"10.1016\/S0140-6736(66)90600-3"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Iop L, Palmosi T, Dal Sasso E, Gerosa G. Bioengineered tissue solutions for repair, correction and reconstruction in cardiovascular surgery. Journal of Thoracic Disease. 2019; 10: S2390\u2013S2411.","DOI":"10.21037\/jtd.2018.04.27"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Elassal AA, AL-Radi OO, Zaher ZF, Dohain AM, Abdelmohsen GA, Mohamed RS, et al. Equine pericardium: a versatile alternative reconstructive material in congenital cardiac surgery. Journal of Cardiothoracic Surgery. 2021; 16: 110.","DOI":"10.1186\/s13019-021-01494-y"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Schoenhoff FS, Loup O, Gahl B, Banz Y, Pavlovic M, Pfammatter J, et al. The Contegra bovine jugular vein graft versus the Shelhigh pulmonic porcine graft for reconstruction of the right ventricular outflow tract: a comparative study. 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Congenital Heart Disease. 2008; 3: 168\u2013175.","DOI":"10.1111\/j.1747-0803.2008.00184.x"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Renella P, Aboulhosn J, Lohan DG, Jonnala P, Finn JP, Satou GM, et al. Two-dimensional and Doppler echocardiography reliably predict severe pulmonary regurgitation as quantified by cardiac magnetic resonance. Journal of the American Society of Echocardiography: official Publication of the American Society of Echocardiography. 2010; 23: 880\u2013886.","DOI":"10.1016\/j.echo.2010.05.019"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Baumgartner H, Hung J, Bermejo J, Chambers JB, Evangelista A, Griffin BP, et al. Echocardiographic Assessment of Valve Stenosis: EAE\/ASE Recommendations for Clinical Practice. 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Interactive Cardiovascular and Thoracic Surgery. 2019; 28: 503\u2013509.","DOI":"10.1093\/icvts\/ivy316"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Kalfa DM, Loundou A, Nouaille de Gorce Y, Fraisse A, Metras DR, Mac\u00e9 L, et al. Pulmonary position cryopreserved homograft in non-Ross patients: how to improve the results? European Journal of Cardio-Thoracic Surgery. 2012; 42: 981\u2013987.","DOI":"10.1093\/ejcts\/ezs248"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Sandica E, Boethig D, Blanz U, Goerg R, Haas NA, Laser KT, et al. Bovine Jugular Veins versus Homografts in the Pulmonary Position: an Analysis across Two Centers and 711 Patients-Conventional Comparisons and Time Status Graphs as a New Approach. The Thoracic and Cardiovascular Surgeon. 2016; 64: 25\u201335.","DOI":"10.1055\/s-0035-1554962"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Urso S, Rega F, Meuris B, Gewillig M, Eyskens B, Daenen W, et al. 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Artificial Organs. 2018; 42: 41\u201348.","DOI":"10.1111\/aor.12968"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Breymann T, Blanz U, Wojtalik M, Daenen W, Hetzer R, Sarris G, et al. European Contegra Multicentre Study: 7-Year Results after 165 Valved Bovine Jugular Vein Graft Implantations. The Thoracic and Cardiovascular Surgeon. 2009; 57: 257\u2013269.","DOI":"10.1055\/s-0029-1185513"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Kido T, Hoashi, T, Kagisaki, K, Fujiyoshi, T, Kitano, M, Kurosaki, K, et al. Early clinical outcomes of right ventricular outflow tract reconstruction with small caliber bovine jugular vein conduit (Contegra\u00ae) in small children. Journal of Artificial Organs 2016; 19: 364\u2013371.","DOI":"10.1007\/s10047-016-0908-7"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Sinzobahamvya N, Wetter J, Blaschczok HC, Cho MY, Brecher AM, Urban AE. The fate of small-diameter homografts in the pulmonary position. 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