BACKGROUND: Surgical repair of @entity2998 ( @entity2998 ) by means of a homograft conduit has become a standard practice. We report our experience in the correction of this @entity299 with a handmade @entity291 pericardial-valved woven Dacron conduit as an alternative procedure to homografts, with a focus on early, mid-term, and long-term results. METHODS: We designed a retrospective study that included 15 @entity1 with a mean age of 1.5 years (range: three months to eight years), who underwent primary repair of simple @entity2998 . Right ventricular outflow tract was reconstructed in all the cases with this handmade graft that was explanted at the time of its biological @entity528 . A peeling procedure was performed at this time, in order to reconstruct the right ventricle-to-pulmonary artery continuity. RESULTS: Overall mortality was 13.3% (one death at the early postoperative primary repair and the other at the mid-term postoperative peeling reoperation). Actuarial survival rate was 93.3%, 86.7%, and 86.7% at 5, 10, and 15 years, respectively. All of the 14 survivors developed stenosis of the handmade conduit at the mid-term period (8    3 years), but after the peeling procedure, 13 survivors remain asymptomatic to date. CONCLUSIONS: Primary repair of @entity2998 using a handmade conduit can be performed with very low perioperative mortality and satisfactory mid-term and long-term results, which can be favorably compared with those reported with the use of homografts. When graft obstruction develops, peeling procedure is a good option because it does not affect the overall survival, although long-term outcomes warrant further follow-up.

Common Arterial Trunk Repair by Means of a Handmade XXXX Pericardial-Valved Woven Dacron Conduit.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2998 :: ('MESH:D002340', 'Disease') :: ['CAT', 'common arterial trunk'] @entity299 :: ('MESH:D006331', 'Disease') :: ['heart disease'] @entity291 :: ('9913', 'Species') :: ['bovine'] @entity528 :: ('MESH:D009410', 'Disease') :: ['stenotic degeneration']
@entity291 :: (9913,Species) :: ['Bovine']
