| Long-term palliation with the classic Blalock-Taussig shunt. | |
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MedLine Citation:
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PMID: 2455199 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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S Stewart; C Alexson; J Manning; D Oakes; S W Eberly |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 1988-08-09 Completed Date: 1988-08-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 117-21 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiothoracic Surgery, University of Rochester Medical Center, N.Y. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical
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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
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