Document Detail


Sternotomy approach for modified Blalock-Taussig shunt: is it a safe option?
MedLine Citation:
PMID:  20719789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Central aorta-pulmonary artery shunts have fallen into disfavor because of shunt thrombosis and congestive heart failure, and a modified Blalock-Taussig shunt via thoracotomy can lead to pulmonary artery hypoplasia and distortion. We reviewed the outcomes of a modified Blalock-Taussig shunt by a sternotomy approach in 20 infants from July 2007 to October 2009. Their mean age was 5.79 months, and median weight was 5.4 kg. A 4-mm graft was placed in 11 patients, a 5-mm graft in 8, and a 3.5-mm graft in 1. There was no incidence of sepsis, seroma, or phrenic nerve palsy. There was one hospital death. The mean hospital stay was 10.4 +/- 4.3 days (range, 8-15 days). The mean oxygen saturation at discharge was 89% (range, 81%-93%). The sternotomy approach is technically easier to perform, cosmetically preferable, and probably hemodynamically superior. Correction of branch pulmonary stenosis is easily incorporated into this procedure. The theoretical disadvantage of this method is a potential technical difficulty with sternal reentry for subsequent procedures.
Authors:
Pramod Reddy Kandakure; Anil Kumar Dharmapuram; Nagarajan Ramadoss; Vivek Babu; Ivatury Mrityunjaya Rao; Kona Samba Murthy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  18     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  368-72     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiac Surgery and Cardiac Anesthesiology, Innova Children's Heart Hospital, Tarnaka, Secunderabad, India. drpramodreddy@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aorta / physiopathology,  surgery*
Blalock-Taussig Procedure* / adverse effects,  instrumentation,  mortality
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects,  instrumentation,  mortality
Heart Defects, Congenital / physiopathology,  surgery*
Hemodynamics
Hospital Mortality
Humans
India
Infant
Infant, Newborn
Length of Stay
Prosthesis Design
Pulmonary Artery / physiopathology,  surgery*
Risk Assessment
Risk Factors
Sternotomy* / adverse effects,  mortality
Time Factors
Treatment Outcome

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


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