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      Aortic Arch Reconstruction Using Nonvalved Femoral Vein Homograft in High-Risk Neonates

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          Abstract

          Aortic arch obstruction is often present with complex concomitant congenital heart defects (CHDs). The use of nonvalved femoral vein homograft (FVH) to reconstruct the aortic arch has distinct surgical advantages, including simplified reconstruction. We present an intraoperative video of a Yasui procedure utilizing FVH for aortic reconstruction in a 12-day-old (2.2 kg) neonate with right ventricular outflow tract obstruction, malalignment ventricular septal defect, aortic valve atresia, aortic arch hypoplasia, atrial septal defect, and ductal dependent systemic circulation. Further, we report outcomes for a series of three additional neonatal patients with complex CHD and aortic arch obstruction who underwent FVH arch reconstruction.

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          Biventricular Repair With the Yasui Operation (Norwood/Rastelli) for Systemic Outflow Tract Obstruction With Two Adequate Ventricles

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            Femoral vein homograft for neoaortic reconstruction in the Norwood stage 1 operation: a follow-up study.

            The aim of this study was to analyze our experience with the cryopreserved femoral vein homograft in comparison with standard biomaterials for neoaortic reconstruction in the Norwood stage 1 operation.
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              Modified Yasui Operation Using Cryopreserved Femoral Vein Homograft.

              The Yasui operation is indicated in an interrupted aortic arch and a posterior malaligned ventricular septal defect with a narrow subaortic region. We present a modification of the Yasui procedure in which the aortic reconstruction was simplified using a nonvalved cryopreserved femoral vein homograft to connect the pulmonary artery to the descending aorta. A side-to-side anastomosis was performed between the femoral vein homograft and ascending aorta to complete the neoaortic reconstruction. After baffling the left ventricle to the pulmonary artery with a patch, a valved segment from the same femoral vein homograft was used to restore continuity of the right ventricular outflow.
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                Author and article information

                Journal
                World J Pediatr Congenit Heart Surg
                World J Pediatr Congenit Heart Surg
                PCH
                sppch
                World Journal for Pediatric & Congenital Heart Surgery
                SAGE Publications (Sage CA: Los Angeles, CA )
                2150-1351
                2150-136X
                11 September 2023
                November 2023
                : 14
                : 6
                : 754-756
                Affiliations
                [1 ]Division of Pediatric and Congenital Heart Surgery, Ringgold 12339, universityUniversity of Texas McGovern Medical School; , Houston, TX, USA
                Author notes
                [*]Damien J. LaPar, Division of Pediatric and Congenital Heart Surgery, University of Texas McGovern Medical School, 6414 Fannin Street, Houston, TX 77030, USA. Email: damien.j.lapar@ 123456uth.tmc.edu

                Meeting presentation: 58th Annual Meeting of the Society of Thoracic Surgeons; January 29-30, 2022 (virtual video presentation).

                Article
                10.1177_21501351231176256
                10.1177/21501351231176256
                10631274
                37697743
                719a7b67-d24b-4958-b253-8616fc36e693
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 2 February 2023
                : 28 April 2023
                Categories
                Case Reports
                Custom metadata
                ts19

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