Invited Comment
Abstract
ORIGINAL cONTRIBUTION REPUBLIC OF SlNGAPORE r. LONG-DISTANCE PROCURED HOMOGRAFTVALVED CONDUIT REPLACEMENT FOR CONGENITAL HEART DISEASE: INITIAL EXPERIENCE WITH 10 CASES Lee Chuen Neizg, MBBS, FRACS, FACC, Luo Hong He, MD', C l i r i s t i e Z T n n, MBBS, FRCS(E), Eugene KW & S MBBS, FRCS(E), Zliang Ming Jie, MD2, Adrian KY & MBBS Division of Cardiothoracic Surgery National University Hospital National University of Singapore Republic of Singapore'Sun Yat-Sen Medical University Guangzhou, People' s Republic of China 2Beijiiig Medical University Beijing, People' s Republic of China ABSTRACT We review our experiencefront Jaituary 1987 to September 1992 with the surgical treatment of coinplex congenital inalfonnatioits requiring an extracardiac hoinograft-valved conduit. There were I0 patients in the series; 7 pulrnonary and 3 aortic homogralfrs were iinplanted. Ages rangedfronz I month to 26years (mean 7.9). There were 4 cases of hospital mortality, none related to the hontograft itseg The major postoperative complication was low cardiac output syndrome. The 6 survivors have been followed between 3 months and 5 years and no dysfunction of the valved homograft, tltromboentbolisin, or heinolysis have been recorded. All the s survivors are symptom-free with a good quality of life. The use