Contegra® conduit: Current outcomes and concerns

Expert Review of Cardiovascular Therapy

Volumn 4, Issue 5, 2006, Pages 721-730

  Raja, Shahzad G ^a  

^a GLASGOW ROYAL INFIRMARY   (United Kingdom)

Author keywords

Bovine jugular vein conduit; Contegra conduit; Right ventricular outflow tract reconstruction; Xenograft

Indexed keywords

ACETYLSALICYLIC ACID;

BACTERIAL ENDOCARDITIS; BLOOD VESSEL CALCIFICATION; CHILD; CONGENITAL HEART DISEASE; COW; DISEASE ASSOCIATION; DISEASE SEVERITY; FALSE ANEURYSM; GRAFT OCCLUSION; HEART HEMODYNAMICS; HEART LEFT VENTRICLE OUTFLOW TRACT OBSTRUCTION; HEMOLYSIS; HUMAN; IMMUNE RESPONSE; INFLAMMATION; INTERMETHOD COMPARISON; INTERNAL JUGULAR VEIN; NONHUMAN; OUTCOMES RESEARCH; PEDIATRIC SURGERY; PLIABILITY; POSTOPERATIVE THROMBOSIS; PULMONARY ARTERY; REVIEW; SURGICAL MORTALITY; VEIN GRAFT; ANIMAL; BIOPROSTHESIS; CATTLE; CONGENITAL HEART MALFORMATION; HEART OUTFLOW TRACT OBSTRUCTION; HEART VALVE PROSTHESIS; JUGULAR VEIN; TRANSPLANTATION; TREATMENT OUTCOME;

ANIMALS; BIOPROSTHESIS; CATTLE; HEART DEFECTS, CONGENITAL; HEART VALVE PROSTHESIS; HUMANS; JUGULAR VEINS; TREATMENT OUTCOME; VENTRICULAR OUTFLOW OBSTRUCTION;

EID: 33750955819     PISSN: 14779072     EISSN: 17448344     Source Type: Journal    
DOI: 10.1586/14779072.4.5.721     Document Type: Review

References (55)

1. Marianeschi SM, Iacona GM, Seddio F et al. Shelhigh No-React porcine pulmonic valve conduit: a new alternative to the homograft. Ann. Thorac. Surg. 71, 619-623 (2001).
2. Kirklin JW, Harp RA, McGoon DC. Surgical treatment of origin of both vessels from right ventricle, including cases of pulmonary stenosis. J. Thorac. Cardiovasc. Surg. 48, 1026-1036 (1964).
3. McGoon DC, Rastelli GC, Ongley PA. An operation for the correction of truncus arteriosus. JAMA 205, 69-73 (1968).
4. Ross DN, Somerville J. Correction of pulmonary atresia with a homograft aortic valve. Lancet 2, 1446-1447 (1966).
5. Weldon CS, Rowe RD, Gott VL. Clinical experience with the use of aortic valve homografts for reconstruction of the pulmonary artery, pulmonary valve, and outflow portion of the right ventricle. Circulation 37, II51-II61 (1968).
6. Cleveland DC, Williams WG, Razzouk AJ et al. Failure of cryopreserved homograft valved conduits in the pulmonary circulation Circulation 86, II150-II153 (1992).
7. Baskett RJ, Ross DB, Nanton MA, Murphy DA. Factors in the early failure of cryopreserved homograft pulmonary valves in children: preserved immunogenicity? J. Thorac. Cardiovasc. Surg. 112, 1170-1178 (1996).
8. Salim MA, DiSessa TG, Alpert BS, Arheart KL, Novick WM, Watson DC Jr. The fate of homograft conduits in children with congenital heart disease: an angiographic study. Ann. Thorac. Surg. 59, 67-73 (1995).
9. Schlichter AJ, Kreutzer C, Mayorquim RC et al. Five- to fifteen-year follow-up of fresh autologous pericardial valved conduits. J. Thorac. Cardiovasc. Surg. 119, 869-879 (2000).
10. Schlichter AJ, Kreutzer C, Mayorquim RC et al. Long-term follow-up of autologous pericardial valved conduits. Ann. Thorac. Surg. 62, 155-160 (1996).
11. Clarke DR, Campbell DN, Hayward AR, Bishop DA. Degeneration of aortic valve allografts in young recipients. J. Thorac. Cardiovasc. Surg. 105, 934-941 (1993).
12. Clarke DR, Bishop DA. Allograft degeneration in infant pulmonary valve allograft recipients. Eur. J. Cardiothorac. Surg. 7, 365-370 (1993).
13. Tweddell JS, Pelech AN, Frommelt PC et al. Factors affecting longevity of homograft valves used in right ventricular outflow tract reconstruction for congenital heart disease. Circulation 102, III130-III135 (2000).
14. Bielefeld MR, Bishop DA, Campbell DN, Mitchell MB, Grover FL, Clarke DR. Reoperative homograft right ventricular outflow tract reconstruction. Ann. Thorac. Surg. 71, 482-487 (2001).
15. di Carlo D, de Leval MR, Stark J. "Fresh", antibiotic sterilized aortic homografts in extracardiac valved conduits. Long-term results. Thorac. Cardiovasc. Surg. 32, 10-14 (1984).
16. Kay PH, Ross DN. Fifteen years' experience with the aortic homograft: the conduit of choice for right ventricular outflow tract reconstruction. Ann. Thorac. Surg. 40, 360-364 (1985).
17. Hawkins JA, Bailey WW, Dillon T, Schwartz DC. Midterm results with cryopreserved allograft valved conduits from the right ventricle to the pulmonary arteries. J. Thorac. Cardiovasc. Surg. 104, 910-916 (1992).
18. Noishiki Y, Hata C, Tu R et al. Development and evaluation of a pliable biological valved conduit. Part I: preparation, biochemical properties, and histological findings. Int. J. Artif. Organs 16, 192-198 (1993).
19. Sung HW, Witzel TH, Hata C et al. Development and evaluation of a pliable biological valved conduit. Part II: functional and hemodynamic evaluation. Int. J. Artif. Organs 16, 199-204 (1993).
20. Ichikawa Y, Noishiki Y, Soma T et al. A new antithrombogenic RV-PA valved conduit. ASAIO J. 40, M714-M718 (1994).
21. Herijgers P, Ozaki S, Verbeken E et al. Valved jugular vein segments for right ventricular outflow tract reconstruction in young sheep. J. Thorac. Cardiovasc. Surg. 124, 798-805 (2002).
22. Ichikawa Y, Noishiki Y, Kosuge T, Yamamoto K, Kondo J, Matsumoto A. Use of a bovine jugular vein graft with natural valve for right ventricular outflow tract reconstruction: a one-year animal study. J. Thorac. Cardiovasc. Surg. 114, 224-233 (1997).
23. Scavo VA Jr, Turrentine MW, Aufiero TX, Sharp TG, Brown JW. Valved bovine jugular venous conduits for right ventricular to pulmonary artery reconstruction. ASAIO J. 45, 482-487 (1999).
24. Chang Y, Tsai CC, Liang HC, Sung HW. Reconstruction of the right ventricular outflow tract with a bovine jugular vein graft fixed with a naturally occurring crosslinking agent (genipin) in a canine model. J. Thorac. Cardiovasc. Surg. 122, 1208-1218 (2001).
25. Corno AF, Hurni M, Griffin H, Jeanrenaud X, von Segesser LK. Glutaraldehyde-fixed bovine jugular vein as a substitute for the pulmonary valve in the Ross operation. J. Thorac. Cardiovasc. Surg. 122, 493-494 (2001).
26. Purohit M, Kitchiner D, Pozzi M. Contegra bovine jugular vein right ventricle to pulmonary artery conduit in Ross procedure. Ann. Thorac. Surg. 77, 1707-1710 (2004).
27. Shebani SO, McGuirk S, Baghai M et al. Right ventricular outflow tract reconstruction using Contegra valved conduit: natural history and conduit performance under pressure. Eur. J. Cardiothorac. Surg. 29, 397-405 (2006).
28. Boudjemline Y, Bonnet D, Massih TA et al. Use of bovine jugular vein to reconstruct the right ventricular outflow tract: early results. J. Thorac. Cardiovasc. Surg. 126, 490-497 (2003).
29. Tiete AR, Sachweh JS, Roemer U, Kozlik-Feldmann R, Reichart B, Daebritz SH. Right ventricular outflow tract reconstruction with the Contegra bovine jugular vein conduit: a word of caution. Ann. Thorac. Surg. 77, 2151-2156 (2004).
30. Chatzis AC, Giannopoulos NM, Bobos D, Kirvassilis GB, Rammos S, Sarris GE. New xenograft valved conduit (Contegra) for right ventricular outflow tract reconstruction. Heart Surg. Forum 6, 396-398 (2003).
31. Schoof PH, Koch AD, Hazekamp MG, Waterbolk TW, Ebels T, Dion RA. Bovine jugular vein thrombosis in the Fontan circulation J. Thorac. Cardiovasc. Surg. 124, 1038-1040 (2002).
32. Kadner A, Dave H, Stallmach T, Turina M, Pretre R. Formation of a stenotic fibrotic membrane at the distal anastomosis of bovine jugular vein grafts (Contegra) after right ventricular outflow tract reconstruction. J. Thorac. Cardiovasc. Surg. 127, 285-286 (2004).
33. Mitchell RN, Jonas RA, Schoen FJ. Pathology of explanted cryopreserved allograft heart valves: comparison with aortic valves from orthotopic heart transplants. J. Thorac. Cardiovasc. Surg. 115, 118-127 (1998).
34. Boudjemline Y, Bonnet D, Agnoletti G, Vouhe P. Aneurysm of the right ventricular outflow following bovine valved venous conduit insertion. Eur J. Cardiothorac. Surg. 23, 122-124 (2003).
35. Carrel T, Berdat P, Pavlovic M, Pfammatter JP. The bovine jugular vein: a totally integrated valved conduit to repair the right ventricular outflow. J. Heart Valve Dis. 11, 552-556 (2002).
36. Corno AF, Qanadli SD, Sekarski N et al. Bovine valved xenograft in pulmonary position: medium-term follow-up with excellent hemodynamics and freedom from calcification. Ann. Thorac. Surg. 78, 1382-1388 (2004).
37. Rajesh PB, Goiti JJ. Acute renal failure due to profound haemolysis-an unusual complication of cusp rupture in cardiac bioprostheses. Eur. J. Cardiothorac. Surg. 2, 197-198 (1988).
38. Boethig D, Breymann T. Contegra pulmonary valved conduits cause no relevant hemolysis. J. Card. Surg. 19, 420-425 (2004).
39. Bove T, Demanet H, Wauthy P et al. Early results of valved bovine jugular vein conduit versus bicuspid homograft for right ventricular outflow tract reconstruction. Ann. Thorac. Surg. 74, 536-541 (2002).
40. Breymann T, Boethig D, Goerg R, Thies WR. The Contegra bovine valved jugular vein conduit for pediatric RVOT reconstruction: 4 years experience with 108 patients. J. Card Surg 19, 426-431 (2004).
41. Gober V, Berdat P, Pavlovic M, Pfammatter JP, Carrel TP. Adverse midterm outcome following RVOT reconstruction using the Contegra valved bovine jugular vein. Ann. Thorac. Surg. 79, 625-631 (2005).
42. Meyns B, Van Garsse L, Boshoff D et al. The Contegra conduit in the right ventricular outflow tract induces supravalvular stenosis. J. Thorac. Cardiovasc. Surg. 128, 834-840 (2004).
43. Bottio T, Vida VL, Stellin G, Thiene G, Casarotto D, Gerosa G. Expected freedom from structural degeneration and patient outgrowth for the bovine jugular vein conduit: is it possible to calculate a safe rate for children? Ann. Thorac. Surg. 76, 2167-2168 (2003).
44. Boudjemline Y, Beyler C, Bonnet D, Sidi D. Surprising outcome similarities between Contegra bovine jugular vein conduit and Shelhigh No-React porcine pulmonary valve conduit: role of immunologic reaction. Eur. J. Cardiothorac. Surg. 24, 850-851 (2003).
45. Wojtalik M, Mrowczynski W, Zeromski J, Bartkowski R. Does contegra xenograft implantation evoke cellular immunity in children? Interactive Cardiovasc. Thorac. Surg. 2, 273-278 (2003).
46. Ricks J, Scott M, Vesely I. Assessment of glutaraldehyde crosslinking efficiency with an amine-specific fluorescent probe. Ann. Thorac. Surg. 66(6 Suppl), S240-S244 (1998).
47. Wang EY, Giclas PC, Tu RH, Hata C, Quijano RC. A comparative study of complement activation by Denaflex, Bioflow, and BioPolyMeric vascular grafts. ASAIO J. 39, M691-M694 (1993).
48. Breymann T, Thies WR, Boethig D, Goerg R, Blanz U, Koerfer R. Bovine valved venous xenografts for RVOT reconstruction: results after 71 implantations. Eur. J. Cardiothorac. Surg. 21, 703-710 (2002).
49. Corno AF, Hurni M, Griffin H et al. Bovine jugular vein as right ventricle-to-pulmonary artery valved conduit. J. Heart Valve Dis. 11, 242-247 (2002).
50. Mert M, Cetin G, Turkoglu H et al. Early results of valved bovine jugular vein conduit for right ventricular outflow tract reconstruction. Int. J. Artif. Organs 28, 251-255 (2005).
51. Brown JW, Ruzmetov M, Rodefeld MD, Vijay P, Turrentine MW. Right ventricular outflow tract reconstruction with an allograft conduit in non-Ross patients: risk factors for allograft dysfunction and failure. Ann. Thorac. Surg. 80, 655-663 (2005).
52. Rastelli GC, Ongley PA, Davis GD, Kirklin JW. Surgical repair for pulmonary valve atresia with coronary-pulmonary artery fistula: report of case. Mayo Clin. Proc. 40, 521-527 (1965).
53. Stark J. The use of valved conduits in pediatric cardiac surgery. Pediatr. Cardiol. 19, 282-288 (1998).
54. Bove EL, Byrum CJ, Thomas FD et al. The influence of pulmonary insufficiency on ventricular function following repair of tetralogy of Fallot. Evaluation using radionuclide ventriculography. J. Thorac. Cardiovasc. Surg. 85, 691-696 (1983).
55. Koh M, Yagihara T, Uemura H et al. Long-term outcome of right ventricular outflow tract reconstruction using a handmade tri-leaflet conduit. Eur. J. Cardiothorac. Surg. 27, 807-814 (2005).