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April 1, 2002European Journal of Cardio-Thoracic SurgeryOpen Access

Bovine valved venous xenografts for RVOT reconstruction: results after 71 implantations1

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Why the study?

Does the Contegra bovine jugular vein graft improve survival and freedom from explantation compared to homografts or porcine xenografts in pediatric patients undergoing RVOT reconstruction?

Population

71 pediatric patients undergoing right ventricular outflow tract reconstruction, median age 1.2 years, 33…

Comparison

Contegra bovine jugular vein graft vs Homografts and Tissuemed porcine xenografts

Design

Cohort

Follow-up

up to 27 months (maximal)

Authors

TBThomas BreymannWTW.-R. ThiesDBD BOETHIG

Discussion

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Overview

May support Contegra over homografts for early pediatric RVOT outcomes; leaves open randomized confirmation versus alternatives.

Structured PICO

Does the Contegra bovine jugular vein graft improve survival and freedom from explantation compared to homografts or porcine xenografts in pediatric patients undergoing RVOT reconstruction?

P
Population
71 pediatric patients undergoing right ventricular outflow tract (RVOT) reconstruction, median age 1.2 years (range 2 days-17.4 years), 33 male/38 female. Preoperative diagnoses included truncus arteriosus communis (n=19), tetralogy of Fallot (n=32), double outlet right ventricle (n=13), transposition of the great arteries (n=5), and two rare complex malformations.
I
Intervention
Contegra bovine jugular vein graft (pulmonary valved conduit, size 12-22 mm)
C
Comparator
Homografts (n=52) and Tissuemed porcine xenografts (n=30)
O
Outcome
Survival, freedom from explantation, and conduit/valve degeneration at up to 27 months follow-uphard clinical

The Contegra bovine jugular vein graft appears to be a durable and effective alternative to homografts and porcine xenografts for pediatric RVOT reconstruction at early follow-up.

Cite This Study

Breymann et al. (2002) studied this question.

synapsesocial.com/papers/6a8bf710167785443dca9556https://doi.org/10.1016/s1010-7940(02)00049-0
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mid term course after pediatric right ventricular outflow tract reconstruction: a comparison of homografts, porcine xenografts and Contegras2004 · 158 citations
  2. 2European Contegra Multicentre Study: 7-Year Results after 165 Valved Bovine Jugular Vein Graft Implantations2009 · 101 citations
  3. 3Contegra Versus Pulmonary Homografts for Right Ventricular Outflow Tract Reconstruction: A Ten-Year Single-Institution Comparison2011 · 34 citations
  4. 4Right ventricular outflow tract reconstruction: valved conduit of choice and clinical outcomes2008 · 79 citations
  5. 5Reconstruction of the RVOT with valved biological conduits: 25 years experience with allografts and xenografts✩2000 · 201 citations