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Replacement of Infected Homograft in Six-Year-Old Boy
This video shows the replacement of an infected homograft in a six-year-old boy. He had truncus arteriosus repair at four months. The RV-PA conduit was replaced when he was four years old with a homograft. At six, he presented with an intermittent fever that had lasted for eight months. ECHO showed severe conduit stenosis, with possible right pulmonary artery origin. The LPA was possibly occluded by organized vegetation/thrombus. The infected homograft was replaced with a handmade bovine pericardial conduit with 0.1 mm thick PTFE bicuspid valve.