Hand-Made Polytetrafluoroethylene Tricuspid-Valved Conduit for Surgical Reconstruction of the Right Ventricular Outflow Tract in a Child With Truncus Arteriosus

Vishal V Bhende; Tanishq S Sharma; Hardil P Majmudar; Krishnan Ganapathy Subramaniam; Deepakkumar V Mehta; Amit Kumar; Purvi R Patel; Gurpreet Panesar; Kunal Soni; Kartik B Dhami; Nirja Patel; Sohilkhan R Pathan

doi:10.7759/cureus.27062

Hand-Made Polytetrafluoroethylene Tricuspid-Valved Conduit for Surgical Reconstruction of the Right Ventricular Outflow Tract in a Child With Truncus Arteriosus

Cureus. 2022 Jul 20;14(7):e27062. doi: 10.7759/cureus.27062. eCollection 2022 Jul.

Affiliations

¹ Pediatric Cardiac Surgery, Bhanubhai and Madhuben Patel Cardiac Centre, Bhaikaka University, Anand, IND.
² Pediatric Cardiac Surgery, Sri Padmavati Pediatric Heart Centre, Sri Venkateswara Institute of Medical Sciences (SVIMS) Campus, Tirupati, IND.
³ Radiodiagnosis and Imaging, Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University, Anand, IND.
⁴ Pediatric Cardiac Intensive Care, Bhanubhai and Madhuben Patel Cardiac Centre, Bhaikaka University, Anand, IND.
⁵ Department of Pediatrics, Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University, Anand, IND.
⁶ Cardiac Anaesthesiology, Bhanubhai and Madhuben Patel Cardiac Centre, Bhaikaka University, Anand, IND.
⁷ Clinical Research Services, Bhanubhai and Madhuben Patel Cardiac Centre, Shree Krishna Hospital, Bhaikaka University, Anand, IND.

Abstract

Although a new right ventricle outflow can be introduced during pulmonary artery reconstruction, it is a suboptimal option as the valved conduits that mimic the natural right ventricular outflow do not grow, and a surgical conduit replacement cannot be averted. This study reported the implementation of hand-made polytetrafluoroethylene (PTFE) tricuspid-valved conduits to rebuild the right ventricular outflow tract in toddlers with truncus arteriosus and risk factors for earlier conduit explant. Herein, we described a case report of a 9-month-old toddler diagnosed in November 2021 with truncus arteriosus type I with ventricular septal defect (VSD) and severe pulmonary arterial hypertension, who has been successfully discharged 20-days postoperative surgical reconstruction with good bi-ventricular functions. Hand-made PTFE tricuspid-valved conduits are efficient in the reconstruction process of the right ventricular outflow tract in children with truncus arteriosus. The conduits are cheap, easily available, and lack potential sensitization.

Keywords: allograft; conduits; homograft; polytetrafluoroethylene (ptfe); truncus arteriosus.

Publication types

Case Reports