Key result
The Shelhigh Pulmonic Valved Injectable No-React-Treated Conduit was implanted into a beating heart in its first clinical application, avoiding cardiopulmonary bypass.
Why the study?
Does off-pump pulmonary valve implantation using a valved injectable conduit improve outcomes in patients with right ventricular outflow tract problems after congenital heart surgery?
Case Report
No
Does off-pump pulmonary valve implantation using a valved injectable conduit improve outcomes in patients with right ventricular outflow tract problems after congenital heart surgery?
Off-pump pulmonary valve implantation using a newly developed injectable conduit may offer advantages over traditional cardiopulmonary bypass for patients with right ventricular outflow tract problems.
Successful first off-pump implantation supports feasibility; leaves open outcome benefits versus bypass in post-congenital RVOT dysfunction.
In congenital heart surgery, especially after Tetralogy of Fallot (TOF), problems from the right ventricular outflow tract may lead to serious complications as morbidity and mortality. To resolve these problems by reoperating using cardiopulmonary bypass (CPB) with valves or conduits is affecting surgical morbidity and mortality rates. The ability of a newly developed Shelhigh Pulmonic Valved Injectable No-React-Treated Conduit (NR 4000-PA MIS Shelhigh Inc., Union, NJ, USA) to be implanted into a beating heart provides great advantages for both patient and surgeon. Early results of the first application in our clinic are presented in this article.
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Üstünsoy et al. (2008) conducted a case report in Tetralogy of Fallot (TOF) with right ventricular outflow tract problems. Shelhigh Pulmonic Valved Injectable No-React-Treated Conduit (NR 4000-PA MIS) was evaluated. The Shelhigh Pulmonic Valved Injectable No-React-Treated Conduit was implanted into a beating heart in its first clinical application, avoiding cardiopulmonary bypass.
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