Periocardiophrenic Release to Prevent Conduit Compression After Neonatal Truncus Arteriosus Repair.

Desai, Manan H; Tongut, Aybala; Ramakrishnan, Karthik; Yerebakan, Can; Sinha, Pranava; Jonas, Richard; Peer, Syed M · Ann Thorac Surg · 2022

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Abstract

Sternal approximation postcardiac surgery in neonates can sometimes be challenging. Neonatal truncus arteriosus repair using a right ventricle-to-pulmonary artery homograft conduit is one such surgical procedure wherein there is a risk of developing conduit compression after sternal closure. We describe our technique of pericardiophrenic release at the time of delayed sternal closure to prevent hemodynamic compromise and conduit compression after sternal approximation in such cases.

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