# Reviving Duran’s Approach to Pericardial Valve Reconstruction in the Pulmonary Position Within the Right Ventricle-to-Pulmonary Artery Conduit: A Compelling Case Report

## TL;DR

This case report describes a successful use of Duran’s pericardial valve reconstruction technique in a patient with a complex heart defect.

## Contribution

The report highlights the practicality and potential benefits of Duran’s technique in resource-limited settings.

## Key findings

- Duran’s technique was successfully used to reconstruct a pulmonary valve in a 14-year-old patient.
- The method offers an alternative to PTFE conduits by using autologous tissue.
- Long-term outcomes of this technique at the pulmonary position require further study in larger patient groups.

## Abstract

Various techniques of conduit repair have been employed during valve
reconstruction. While Ozaki conduits have streamlined the procedure, their
limited availability poses concerns. This case report presents 14-year-old
patient with pulmonary atresia and an anomalous left anterior descending artery
arising from the right sinus. A right ventricle-to-pulmonary artery conduit was
created using Dacron® graft and a trileaflet valve employing Duran's
technique of pericardial valve reconstruction, elucidating surgical methodology.
In developing countries, the implementation of Duran's technique presents
noteworthy advantage allowing for utilization of autologous tissue, addressing
challenges associated with PTFE conduits. Unlike PTFE conduits, the results of
Duran’s technique at the pulmonary position needs to be followed up in a large
number of cases.