Evidence map›Paper›PMID 42027498›Full record

ArticleAnnals of thoracic surgery short reports2026

Valved Femoral Vein Homografts as Right Ventricle to Pulmonary Artery Conduit for Repair of Truncus Arteriosus.

Arif Selcuk, Justus G Reitz, Mahmut Ozturk, Aybala Tongut, Manan Desai, Rittal Mehta, Irem Nida Turanalp, Sena Tuncer, Yves d'Udekem, Can Yerebakan

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Article in Annals of thoracic surgery short reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Arif SelcukDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Justus G ReitzDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Mahmut OzturkDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Aybala TongutDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Manan DesaiDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Rittal MehtaDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Irem Nida TuranalpDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Sena TuncerDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Yves d'UdekemDivision of Cardiac Surgery, Children's National Hospital, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Can YerebakanDepartment of Cardiac Surgery, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To assess outcomes of early surgical repair of truncus arteriosus by analyzing outcomes with the use of valved femoral vein homografts as right ventricle to pulmonary artery conduit. Methods: Between 2002 and 2023, 51 patients who underwent primary surgical repair for truncus arteriosus were reviewed retrospectively. Results: Median (interquartile range) age and weight were 7 (5.7-17.5) days and 3 (2.6-3.7) kg. Median follow-up was 7 (3-17) years. Survival was 86% and 81% at 1 and 15 years, respectively. Birth weight below 2 kg, conduit size of 10 mm or smaller, and the need for extracorporeal membrane oxygenation were associated with higher mortality. Valved femoral vein homografts were utilized in 29 (57%, 29 of 51) patients, pulmonary artery homografts in 11 (22%, 11 of 51), aortic homografts in 7 (14%, 7 of 51), valveless tube grafts in 3 (6%, 3 of 51), and a bioconduit in 1 (2%, 1 of 51). Thirty (59%, 30 of 51) patients underwent conduit replacement within a median of 2.7 (1.7-4.8) years. No difference was observed among conduit types based on the time from truncus arteriosus repair to conduit reintervention or replacement ( Conclusions: Valved femoral vein homografts are durable as right ventricle to pulmonary artery conduits in early primary repair of truncus arteriosus. The choice of appropriately sized conduit reduces the rate of reintervention.

Identifiers

PMID42027498
PMCPMC13100724

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