Replacement of Obstructed Right Ventricle to Pulmonary Artery Conduits: The Modified Peel Operation

Author:

Cervantes-Salazar Jorge L1,Flores-Sarria Iris P1ORCID,Ortega-Zhindón Diego B1ORCID,Calderón-Colmenero Juan2,Benita-Bordes Antonio1,Martínez-Guerrero Josue2ORCID

Affiliation:

1. Department of Pediatric Cardiac Surgery and Congenital Heart Disease, National Institute of Cardiology Ignacio Chávez, Mexico City, Mexico

2. Department of Pediatric Cardiology, National Institute of Cardiology Ignacio Chávez, Mexico City, Mexico

Abstract

Reconstruction of the right outflow tract with extracardiac conduits has made complete repair of complex cardiac malformations possible. However, reoperation is usually required for a right ventricle-to-pulmonary artery conduit obstruction. We describe a modified peel operation, where the sides and posterior half of the previously placed conduit are preserved, and a prosthetic roof is placed over the conduit remnant. This has been our current technique to manage conduit obstructions. It is a safe operation and to teach residents. This review aims to convey the technical details of each step of this technique.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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