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Replacement of Infected Homograft in Six-Year-Old Boy

Wednesday, July 15, 2015

By

Neville Solomon
Krishnan Subramaniam

This video shows the replacement of an infected homograft in a six-year-old boy. He had truncus arteriosus repair at four months. The RV-PA conduit was replaced when he was four years old with a homograft. At six, he presented with an intermittent fever that had lasted for eight months. ECHO showed severe conduit stenosis, with possible right pulmonary artery origin. The LPA was possibly occluded by organized vegetation/thrombus. The infected homograft was replaced with a handmade bovine pericardial conduit with 0.1 mm thick PTFE bicuspid valve.

Comments

Submitted by Ivatury Rao on
Excellent case and Good work. Compliment you on your innovative thinking in the execution of a rather difficult third time redo operation. Signification points to high light: 1. Ability to do redo cases by single venous cannulation, if there is no intracardiac defect which needs attention. 2. Complete transection of the aorta to expose the bifurcation and pa branches, as this give unimpeded exposure and very good conditions to work on pa branches. 3, Division of aorta also gives excellent exposure for aortic valve repair. Prof.I.M.Rao and Dr.Anil Kumar, KIMS Hospital Hyderabad.

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