Does the type of right ventricular conduit (homograft, xenograft, or BJV graft) affect the incidence of reintervention after 15 years in patients undergoing the Ross procedure?
Patients receiving right ventricular conduits during the Ross procedure
Right ventricular conduits (homografts, xenografts, or BJV grafts)
Comparison between homograft, xenograft, and BJV graft recipients
Incidence of reintervention after 15 yearshard clinical
Xenografts and BJV grafts offer similar 15-year durability to homografts for right ventricular conduits in the Ross procedure, making them viable alternatives when homografts are unavailable.
The incidence of reintervention after 15 years is similar in recipients of homografts, xenografts, and BJV grafts. Interestingly, homografts may fail in the first few years, possibly related to inflammatory phenomena. Thus, the use of xenografts may be an option if homografts are not available.
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Karen B. Abeln
Royal Children's Hospital
Lennart Froede
Saarland University
Christian Giebels
Saarland University
Journal of Thoracic and Cardiovascular Surgery
Saarland University
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Abeln et al. (Tue,) studied this question.
synapsesocial.com/papers/69d573129d980f6498ccb290 — DOI: https://doi.org/10.1016/j.jtcvs.2024.10.023