Modified Blalock-Taussig shunt with an umbilical vein graft.
Tex Heart Inst J
; 12(1): 65-71, 1985 Mar.
Article
em En
| MEDLINE
| ID: mdl-15227043
ABSTRACT
We describe a modification of the Blalock Taussig anastomosis, with the interposition of a glutaraldehyde-tanned umbilical vein graft between the subclavian and pulmonary arteries. This operation was performed in 64 children 11 were less than 1 month of age (17.2%), and 23 were between 1 and 6 months of age (34.9%). Hospital deaths occurred in six patients-all less than 6 months of age (9.4%). There was no instance of shunt occlusion noted. The clinical course was uneventful among survivors, except for one patient who died of endocarditis in the late postoperative follow-up. The shunt procedure may be performed very rapidly, with minimal dissection, allowing the use of a graft larger than the diameter of the subclavian artery. This modification of the Blalock Taussig operation compares favorably with our previous experience with other shunt procedures and may be considered a valuable alternative in the palliative surgical treatment of several malformations with severe pulmonary oligemia.
Texto completo:
1
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
1985
Tipo de documento:
Article