RIGHT VENTRICULAR OUTFLOW TRACT PSEUDO-ANEURYSM AFTER RECONSTRUCTION WITH SMALL INTESTINAL SUBMUCOSAL (CORMATRIX) PATCH – A WORD OF CAUTION

Authors

  • Carolina Rodrigues Cardiothoracic department, Santa Marta Hospital, Portugal
  • Rui Cerejo Cardiothoracic department, Santa Marta Hospital, Portugal
  • Rui Rodrigues Cardiothoracic department, Santa Marta Hospital, Portugal
  • Eugénia Pinto Cardiothoracic department, Santa Marta Hospital, Portugal
  • José Fragata Cardiothoracic department, Santa Marta Hospital, Portugal

DOI:

https://doi.org/10.48729/pjctvs.59

Abstract

Tetralogy of Fallot is very prevalent with correction techniques well standardized. Whenever infundibular incisions are needed, patch reconstruction seems mandatory. Recently, the small intestinal submucosal (CorMatrix, MAC’s Medical Group,) patch was introduced, with optimal results in pre-clinical studies. However, clinical results do not match its pre-clinical promises, particularly when used in right ventricular outflow tract and pulmonary artery reconstructions. We describe a case of Tetralogy of Fallot for which small intestinal submucosal (CorMatrix) patch was used as a trans-annular patch, with development of a massive pseudo-aneurysm.

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References

Villafañe JF, Feinstein JA, Jenkins KP et al. Hot topics in tetralogy of Fallot. JACC 2013; 62 23, 2155-66 .

Bové T. Surgical repair of tetralogy of Fallot: the quest for the “ideal” repair. Transl Pediatr 2017;6(1):64-66.

Mosala NZ, Poncelet A, de Kerchove L, Gianello P, Fervaille C, El Khoury G. Small intestinal submucosa extracellular matrix (Cor-Matrix®) in cardiovascular surgery: a systematic review. Interact CardioVasc Thorac Surg 2016;22:839–50.

Rosario-Quinones F, Magid MS, Yau J, Pawale A, Nguyen K. Tissue Reaction to Porcine Intestinal Submucosa (CorMatrix) Implants in Pediatric Cardiac Patients: A Single-Center Experience. Ann Thorac Surg 2015; 99:1373–8.

Padalino MA, Quarti A, Angeli E et al. Early and mid-term clinical experience with extracellular matrix scaffold for congenital cardiac and vascular reconstructive surgery: a multicentric Italian study. Interact CardioVasc Thorac Surg 2015; 21:40–9.

Witt RG, Raff G, Gundy JV, Rodgers-Ohlau M, Si MS. Short-term experience of porcine small intestinal submucosa patches in paediatric cardiovascular surgery. Eur J Cardiothorac Surg 2013, 44, 72–76.

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Published

30-06-2020

How to Cite

1.
Rodrigues C, Cerejo R, Rodrigues R, Pinto E, Fragata J. RIGHT VENTRICULAR OUTFLOW TRACT PSEUDO-ANEURYSM AFTER RECONSTRUCTION WITH SMALL INTESTINAL SUBMUCOSAL (CORMATRIX) PATCH – A WORD OF CAUTION. Rev Port Cir Cardiotorac Vasc [Internet]. 2020 Jun. 30 [cited 2024 Apr. 19];27(2):117-9. Available from: https://pjctvs.com/index.php/journal/article/view/59

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Section

Clinical Cases

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