FDA Adverse Event Death Summary report: N

GORE-TEX VASCULAR GRAFT

MDR report key: 11918618 · Received June 2, 2021

Report

Report Number
2017233-2021-02047
Event Type
Death
Date Received
June 2, 2021
Date of Event
January 4, 2011
Report Date
July 19, 2021
Manufacturer
W. L. GORE & ASSOCIATES, INC.
Product Code
DSY
PMA / PMN Number
K802095
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

LITERATURE CITATION: THE LITERATURE NAME: ¿SURGICAL MANAGEMENT OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT: EARLY TOTAL CORRECTION VERSUS SHUNT¿ PUBLISHED BY THE SOCIETY OF THORACIC SURGEONS, ANN THORAC SURG 2011;91:1928 ¿35. ACCEPTED FOR PUBLICATION JAN 4, 2011. THE AUTHORS: JAE GUN KWAK, MD, CHANG-HA LEE, MD, CHEUL LEE, MD, AND CHUN SOO PARK. DEPARTMENT OF THORACIC AND CARDIOVASCULAR SURGERY, SEJONG GENERAL HOSPITAL, BUCHEON, REPUBLIC OF KOREA DOI:10.1016/J.ATHORACSUR.2011.01.014.

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

THE FOLLOWING INFORMATION WAS RECEIVED THROUGH LITERATURE SURGICAL MANAGEMENT OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT: EARLY TOTAL CORRECTION VERSUS SHUNT PUBLISHED BY THE SOCIETY OF THORACIC SURGEONS, ANN THORAC SURG 2011;91:1928 35. THE STUDY WAS TO COMPARE THE SURGICAL OUTCOMES OF SHUNT AND EARLY TOTAL CORRECTION. FROM 1997 TO 2008, 47 PATIENTS WITH PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT AND NO MAJOR AORTOPULMONARY COLLATERAL ARTERIES WHO UNDERWENT SURGICAL CORRECTION WERE ENROLLED IN THIS RETROSPECTIVE STUDY. TWENTY-NINE PATIENTS UNDERWENT PALLIATIVE SHUNT OPERATION (GROUP S). THE MOST COMMONLY USED SHUNT SIZE WAS 3.5 MM IN DIAMETER (N=17) AND THIS WAS FOLLOWED BY A 4-MM SIZE SHUNT (N=8) WITH A GORE-TEX VASCULAR GRAFT (W.L. GORE ASSOC. INC, (B)(4)). THE RESULTS STATE THAT IN TERMS OF COMPLICATIONS, IN THE SHUNT GROUP, THESE INTERSTAGE MORTALITIES HAD THE POSSIBILITY OF BEING ASSOCIATED WITH CRITICAL STENOSIS OR OCCLUSION OF THE SHUNT (4 PATIENTS).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
816965 GORE-TEX VASCULAR GRAFT PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER DSY W. L. GORE & ASSOCIATES, INC.

Patients

Seq Age Sex Outcome Treatment
1 40 DA Death