Right ventricle to pulmonary artery connection: Evolution and current alternatives

Despite the introduction of different right ventricle to pulmonary artery reconstructive techniques and conduits, the ideal option is yet to be developed. Valved conduits mimicking the natural right ventricular outflow, however, they do not grow and re-operation for conduit replacement is inevitable. So, surgeons have constantly tried to evolve surgical techniques that would obviate their use and allow age-related growth. We tried to review the evolution of these techniques and the current status of these alternatives focusing on their suitability for variable age groups and different pathological entities.