Suraj Wasudeo Nagre*, Krishnarao Narayanrao Bhosle, Ambrish Khatod and Vignesh Ravikumar
Department of CVTS, Grant Medical College and Sir J J Group of Hospitals, Mumbai, IndiaFulltext PDF
RV-PA conduit like contegra which is a xenograft from bovine IJV, has varied indications from TOF to complex congenital cardiac procedures like noorwood, Ross etc. RV-PA conduit has limited availability also the sizes available are limited. So we used indigenous made RV-PA conduit created from a polyester graft and a biocore valve in a 16 year old male for intracardiac repair of tetralogy of fallot [ICR TOF] with pulmonary atresia post BT shunt. Patient tolerated procedure well and is in regular follow up with RVOT gradient of 10 mm of HG. Indigenous made RV-PA conduit have longer shelf life and can be easily available but minimum size of bioprosthetic valve available was 21 mm hence limitation for use in children and infants. It is better alternative in adults where availability and cost of contegra graft was problem.
Nagre SW, Bhosle KN, Khatod A, Ravikumar V. Indeginous RV-PA Conduit �Future for Intracardia repair of Tetraology of Fallot with Pulmonary Atresia. Clin Surg. 2017; 2: 1654.