Document Detail


Subclavian arterioplasty for the ipsilateral subclavian-to-pulmonary artery shunt.
MedLine Citation:
PMID:  445767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new technique is described to avoid kinking and improve flow in the ipsilateral subclavian-to-pulmonary artery shunt. Experience with this procedure is reviewed in 35 infants and children with a variety of cyanotic congenital heart disease, including 10 with tricuspid atresia. Of these, 17 had had previous shunts: a Waterston shunt in six, a Glenn shunt in six, and a contralateral Blalock-Taussig shunt in five. The mean age was 5.6 years (range, 1 day to 16 years), and the mean follow-up was 24 months (range, 11 months to 4.5 years). There were no early deaths (less than 30 days), but there were two late deaths. There were three shunt failures at 2 weeks, 1 month, and 10 months; two of the failures were in infants aged 1 day and 4 days at operation. There were no late shunt failures. The patency by the life table method was 91.4% at 6 months, 88.5% at 1 year, with no further drop-off. It is concluded that subclavian arterioplasty can be performed safely and offers improved shunt patency in comparing to the ipsilateral Blalock-Taussig shunt.
Authors:
H Laks; W Williams; G Trusler; A Castaneda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  60     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1979-09-01     Completed Date:  1979-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  115-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Female
Follow-Up Studies
Heart Defects, Congenital / surgery*
Heart Septal Defects, Ventricular / complications,  surgery
Humans
Infant
Infant, Newborn
Male
Methods
Pulmonary Artery / surgery*
Pulmonary Valve / abnormalities
Subclavian Artery / surgery*
Tetralogy of Fallot / surgery
Transposition of Great Vessels / complications,  surgery
Tricuspid Valve / abnormalities

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


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