Document Detail


Long-term palliation with the classic Blalock-Taussig shunt.
MedLine Citation:
PMID:  2455199     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighty-five patients received a classic Blalock-Taussig shunt between 1973 and 1986. Their age range was 1 day to 9.3 years and their median age was 4 months. Forty-one percent (35/85) were less than 1 month of age. The basic operative technique was unchanged throughout the time period. The subclavian artery opposite the side of the arch was used in 89% (79/88) of the patients. All anastomoses were done with monofilament suture and there was a tendency toward smaller suture material (7-0) in the latter years. All anastomoses except one were done with an interrupted suture technique. The operative mortality rate was 4.7% (4/85) and was not statistically related to age, diagnosis, or year of operation. Palliation was considered to be satisfactory until either a second shunt or a premature corrective operation were necessary. Seven patients required a second shunt and three, a premature corrective operation. The mean time between the initial shunt and the second procedure, either a second shunt or a corrective operation, was 2.9 years and 2.4 years, respectively. Twenty-five patients have had an elective corrective operation and the mean interval to that procedure was 3.9 years. Two years after the operation, 97% of patients older than 1 month of age at operation remain in well-palliated condition, as do 87% of those less than 1 month of age. At 4 years, 87% of those older than 1 month and 54% of those less than 1 month of age continue to be in well-palliated condition. The classic Blalock-Taussig shunt provides excellent palliation at a low operative mortality for virtually all patients for a minimum of 2 years. It will provide adequate pulmonary blood flow for most patients for an extended period of time beyond 2 years.
Authors:
S Stewart; C Alexson; J Manning; D Oakes; S W Eberly
Related Documents :
9075669 - Diuretic requirements after therapeutic paracentesis in non-azotemic patients with cirr...
15986749 - Posttraumatic syringomyelia--a serious complication in tetra- and paraplegic patients.
23015269 - Bariatric surgery: severity, level of control, and time required for preoperative asthm...
7259059 - Connective tissue changes in autogenous vein graft used as a mesocaval shunt.
21048579 - Use of urokinase in the treatment of tuberculous meningitis hydrocephalus.
6973969 - The distal lienorenal shunt: perioperative experience with 30 patients.
7820429 - Preliminary report--combined surgical and radiological penile vein occlusion for the ma...
24080739 - Tb treatment in a chronic complex emergency: treatment outcomes and experiences in soma...
17433029 - Organ-sparing surgery does not lead to greater antisperm antibody levels than orchidect...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  96     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-08-09     Completed Date:  1988-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  117-21     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiothoracic Surgery, University of Rochester Medical Center, N.Y.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Heart Defects, Congenital / surgery*
Humans
Infant
Infant, Newborn
Palliative Care*
Pulmonary Artery / surgery*
Pulmonary Valve / abnormalities*
Reoperation
Subclavian Artery / surgery*
Suture Techniques
Sutures
Tetralogy of Fallot / surgery*
Time Factors
Tricuspid Valve / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Role of the central nervous system in human secondary hypertension.
Next Document:  The guinea-pig isolated atrium as a model system for the central actions of selected CNS stimulant a...