Extracardiac conduit composed of gutter-shaped prosthesis and pedicled pericardial valved patch for pulmonary trunk reconstruction

A conduit for reconstruction of the pulmonary trunk is presented. A Gelseal vascular prosthesis (Vascutek Ltd, Inchinnan, Scotland) was split longitudinally in two halves, and one half was used as a posterior wall of the conduit like a gutter. The anterior wall was constructed by a pedicled pericardial valved patch. Finally, the proximal anastomosis of the conduit was completed with a gusset cut from the Gelseal prosthesis. This conduit can be applied to patients who require the Rastelli procedure, and growth potential of the pedicled pericardial patch may be expected.