Heterotopically-placed right ventricle-to-pulmonary artery conduit does not negatively affect outcomes
Issued Date
2023-12-01
Resource Type
eISSN
17498090
Scopus ID
2-s2.0-85171394697
Pubmed ID
37715260
Journal Title
Journal of Cardiothoracic Surgery
Volume
18
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Cardiothoracic Surgery Vol.18 No.1 (2023)
Suggested Citation
Kadeetham K., Samankatiwat P. Heterotopically-placed right ventricle-to-pulmonary artery conduit does not negatively affect outcomes. Journal of Cardiothoracic Surgery Vol.18 No.1 (2023). doi:10.1186/s13019-023-02362-7 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/90205
Title
Heterotopically-placed right ventricle-to-pulmonary artery conduit does not negatively affect outcomes
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Objectives: Since the introduction of surgical implantation of conduit for right ventricle-to-pulmonary artery pathway reconstruction, there has been a number of studies on possible factors which might potentially affect conduit longevity, as well as patient’s reintervention-free and overall survival. Still, no definite consensual agreement could be made thus far. We aimed to compare conduit longevity, reintervention-free survival, and overall survival between patients with congenital heart diseases indicated for operations involving right ventricle-to-pulmonary artery pathway reconstruction whose conduits were placed heterotopically to those with orthotopically placed ones. Materials and methods: We retrospectively collected data from electronic medical records of Ramathibodi hospital from 1st January 2005 to 31st December 2022. Patients with congenital heart diseases whose operations involved reconstruction of right ventricle-to-pulmonary artery continuity were included. Patients whose medical record data were significantly missing were excluded. Demographic data, operative, and postoperative details were collected and reviewed. Results: There were 67 patients included in our study, with 25 receiving orthotopic and the other 42 receiving heterotopic conduit implantation. Conduit dysfunction-free, reintervention-free, and overall survival were not statistically different between both groups. There was 1 early and no late death up to the end date of our study. Conclusions: Conduits placed on a heterotopic position did not result in worse longevity, reintervention-free survival, as well as overall survival when compared to conduits placed on an orthotopic position. This suggested that the less technically demanding heterotopic conduit placement could be recommended as an operation of choice for right ventricular outflow tract reconstruction.