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Published on: July 18, 2014
Periocardiophrenic Release to Prevent Conduit Compression After Neonatal Truncus Arteriosus Repair
Manan H Desai1, Aybala Tongut2, Karthik Ramakrishnan2
1Department of Cardiac Surgery, Children's National Hospital, Washington, DC; Department of Cardiothoracic Surgery, Lucile Packard Children's Hospital and Stanford University, Palo Alto, California.
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.

