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Short- and mid-term results of xenograft–bovine pericardial patch in the repair of intracardiac defects: final results of a single-centre study

Published online by Cambridge University Press:  22 May 2013

Hafize Yaliniz ,
Orhan K. Salih ,
Atakan Atalay ,
Vecih Keklik ,
Ugur Gocen ,
Mehmet S. Topcuoglu ,
Yasin Guzel ,
Yuksel Basturk ,
Mehmet Aslan  and
Sevcan Erdem
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Hafize Yaliniz*
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Orhan K. Salih
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Atakan Atalay
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Vecih Keklik
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Ugur Gocen
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Mehmet S. Topcuoglu
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Yasin Guzel
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Yuksel Basturk
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Mehmet Aslan
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Sevcan Erdem
Affiliation:
Department of Pediatric Cardiology, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
Hakan Poyrazoglu
Affiliation:
Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, Saricam, Adana, Turkey
*
Correspondence to: Dr H. Yaliniz, Department of Cardiovascular Surgery, Faculty of Medicine, University of Cukurova, 01330 Sarıcam, Adana, Turkey. Tel: +90 532 7114036; Fax: +90 532 3387087; E-mail: [email protected]
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Abstract

Introduction: A variety of patch materials have been used in the repair of intracardiac defects. We evaluated the short- and mid-term clinical and echocardiography results of glutaraldehyde-preserved bovine pericardium patches used to repair intracardiac defects in our clinic. Methods and results: This study examines the short- (up to 30 days post-operatively) and mid-term (up to 24 months post-operatively) results of 533 patients with intracardiac defects who underwent surgical correction with glutaraldehyde-preserved bovine pericardium patches between 2004 and 2010 at a university clinic. Short- and mid-term post-operative echocardiographic studies showed no evidence of calcification, thrombus, or aneurysmal dilatation on the patch. Vegetation developed in two (0.37%) of the 533 patients. Conclusion: These results that have been obtained from a group of large number of patients imply that the glutaraldehyde-preserved bovine pericardium patches may be preferable in the closure of cardiac defects because of their low complication rates and ease of use.

Keywords

Congenital cardiac defectxenograftpatch
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 3 , June 2014 , pp. 510 - 514
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Mohri, H, Barnes, R, Rittenhouse, E, Reichenbach, DD, Dillard, DH, Merendino, KA. Fate of autologous pericardium and dacron fabric used as substitutes for total atrial septum in growing animals. J Thorac Cardiovasc Surg 1970; 59: 501–511.CrossRefGoogle ScholarPubMed
2. McGoon, DC. Longterm effects of prosthetic materials. Am J Cardiol 1982; 50: 621–630.CrossRefGoogle ScholarPubMed
3. Ionescu, M, Tandon, A, Mary, D, Abid, A. Heart valve replacement with the Ionescu–Shiley pericardial xenograft. J Thorac Cardiovasc Surg 1977; 73: 31–34.CrossRefGoogle ScholarPubMed
4. Kirklin, JW, Barratt-Boyes, BG. (eds). Cardiac surgery. Churchill Livingstone, Edinburg, 1993.Google ScholarPubMed
5. Us, MH, Sungun, M, Sanioglu, S, et al. A retrospective comparison of bovine pericardium and polytetrafluoroethylene patch for closure of ventricular septal defects. J Int Med Res 2004; 32: 218–221.CrossRefGoogle ScholarPubMed
6. Ishihara, T, Ferrans, V, Jones, M, Boyce, SW, Roberts, WC. Structure of bovine parietal pericardium and of unimplanted Ionescu-Shiley pericardial valvular bioprostheses. J Thorac Cardiovasc Surg 1981; 81: 747–750.CrossRefGoogle ScholarPubMed
7. Ionescu, MI, Tandon, AP, Mc Cartney, FJ. Long-term sequential hemodynamic evaluation of right ventricular outflow tract reconstruction using a valve mechanism. Ann Thorac Surg 1979; 27: 26–30.CrossRefGoogle ScholarPubMed
8. Lukacs, L, Zabonszky, B, Sarkozy, K, Arvay, A. Reconstruction of the right ventricular outflow tract with bovine pericardial monocusp patch. Tex Heart Inst J 1984; 11: 234–238.Google Scholar
9. Crawford, FA, Sade, RM Jr, Spinale, F. Bovine pericardium for correction of congenital heart defects. Ann Thorac Surg 1986; 41: 602–605.CrossRefGoogle ScholarPubMed
10. Castaneda, AR, Jonas, RA, Mayer, JE Jr, Hanley, FL. Cardiac surgery of the neonate and infant. WB Saunders Company, Philadelphia, 1994.Google Scholar
11. Hardin, JT, Muskett, AD, Canter, CE, Martin, TC, Spray, TL. Primary surgical closure of large ventricular septal defects in small infants. Ann Thorac Surg 1992; 53: 397–401.CrossRefGoogle ScholarPubMed
12. Li, X, Guo, Y, Zieger, K, Model, L, Eghbalieh, S, Brenes, R. Current usage and future directions for the bovine pericardial patch. Ann Vasc Surg 2011; 25: 561–568.CrossRefGoogle ScholarPubMed
13. Obermiller, JF, Hodde, JP, McAlexander, CS, Kokini, K, Badylak, SF. A comparison of suture retention strengths of three biomaterials. Med Sci Monit 2004; 10: 11–15.Google ScholarPubMed
14. Cunanan, CM, Cubbling, CM, Dinh, TT, Shen, Sh, Tran-Hata, P, Rutledge, JH III. Tissue characterization and calcification potential of commercial bioprosthetic heart valve. Ann Thorac Surg 2001; 71: 417–422.CrossRefGoogle Scholar
15. Neethling, WM, Hodge, AJ, Clode, P, Glancy, R. A multi-step approach in anti-calcification of glutaraldehyde-preserved bovine pericardium. J Cardiovasc Surg (Torino) 2006; 47: 711–718.Google ScholarPubMed
16. Gabbay, S, Bortoltti, U, Factor, S, Shore, DF, Frater, RW. Calcification of implanted xenogarft pericardium. Influence of site and function. J Thorac Cardiovasc Surg 1984; 87: 782–787.CrossRefGoogle Scholar