The Blalock-Taussig shunt in the newborn infant

Children with pulmonary oligemia often require palliation in the newborn period. The Blalock-Taussig shunt has been shown to offer adequate palliation in the older child, but its use in the newborn period remains controversial. A retrospective review of 51 neonates younger than age 2 weeks undergoin...

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Published inThe Journal of thoracic and cardiovascular surgery Vol. 102; no. 4; pp. 602 - 605
Main Authors Smith, Vernon C., Caggiano, Anthony V., Knauf, Daniel G., Alexander, James A.
Format Journal Article
LanguageEnglish
Published Philadelphia, PA Elsevier Inc 01.10.1991
AATS/WTSA
Elsevier
Subjects
Anastomosis, Surgical - adverse effects
Anastomosis, Surgical - mortality
Biological and medical sciences
Follow-Up Studies
Heart Defects, Congenital - complications
Heart Defects, Congenital - physiopathology
Humans
Infant, Newborn
Medical sciences
Palliative Care
Pulmonary Artery - surgery
Pulmonary Circulation
Reoperation
Retrospective Studies
Subclavian Artery - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Survival Rate
Human
Cardiovascular disease
Newborn
Treatment
Bypass
Surgery
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Summary:Children with pulmonary oligemia often require palliation in the newborn period. The Blalock-Taussig shunt has been shown to offer adequate palliation in the older child, but its use in the newborn period remains controversial. A retrospective review of 51 neonates younger than age 2 weeks undergoing a Blalock-Taussig shunt (or modification) was performed. The operative mortality rate was 5.8%. Six children (15.4%) required reoperation in the first year of life for inadequate shunt function. The modification with interposition grafts necessitated reoperation more often than shunts performed with the subclavian artery.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-5223
1097-685X
DOI:10.1016/S0022-5223(20)31433-1