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

Authors

Kyle G Mitchell
Julija Dobrila
Blaz Podgorsek
Christopher Greenleaf
Peter Chen
Jorge D Salazar
Damien J LaPar

Publication Date

11-1-2023

Journal

World Journal for Pediatric and Congenital Heart Surgery

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.

Keywords

Infant, Newborn, Humans, Aorta, Thoracic, Femoral Vein, Ventricular Outflow Obstruction, Aortic Coarctation, Heart Defects, Congenital, Allografts