Document Detail

Surgical strategy for pulmonary coarctation in the univentricular heart.
MedLine Citation:
PMID:  16337132     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The placement of a modified Blalock-Taussig shunt in patients suffering from pulmonary coarctation can result in the aggravation of uneven pulmonary blood flow. This may subsequently obviate the possibility of future performance of the Fontan procedure. The objective of this study was to evaluate mid-term results in patients with pulmonary coarctation who had undergone the placement of a modified Blalock-Taussig shunt, coupled with a pulmonary artery angioplasty. METHODS: We retrospectively reviewed the records of 13 patients who had undergone the placement of a modified Blalock-Taussig shunt, coupled with concomitant pulmonary angioplasty, between September 1998 and August 2002. All patients received follow-up angiographic evaluations. RESULTS: On the ipsilateral side of the modified Blalock-Taussig shunt, we observed a significant increase in the pulmonary artery index during a mean follow-up period of 11+/-5 months (preoperative 82+/-37 mm2/m2, follow-up 129+/-57, p=0.03). On the contralateral side, we also observed a significant increase in the pulmonary artery index (preoperative 90+/-56 mm2/m2, follow-up 137+/-56, p=0.047). There was one late death. During the follow-up period (mean 23+/-18 months), 10 patients received either a bidirectional or total cavopulmonary shunt and five of these patients underwent extracardiac Fontan operations. CONCLUSIONS: Our study demonstrated that the placement of a modified Blalock-Taussig shunt, with concomitant pulmonary artery angioplasty, constitutes a good initial surgical strategy in cases of univentricular heart with pulmonary coarctation.
Hyun Koo Kim; Woong-Han Kim; Soo-Cheol Kim; Cheong Lim; Chang Ha Lee; Soo-Jin Kim
Publication Detail:
Type:  Journal Article     Date:  2005-12-05
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  29     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-26     Completed Date:  2006-03-09     Revised Date:  2006-07-20    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  100-4     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Pediatrics, Sejong General Hospital, Sejong Heart Institute, Bucheon, Korea.
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MeSH Terms
Anastomosis, Surgical / instrumentation
Angioplasty / methods
Arterial Occlusive Diseases / physiopathology,  surgery*
Cardiac Surgical Procedures / instrumentation
Equipment Design
Heart Defects, Congenital / pathology,  physiopathology,  surgery*
Heart Ventricles / abnormalities
Infant, Newborn
Pulmonary Artery / pathology,  physiopathology,  surgery*
Pulmonary Circulation / physiology
Retrospective Studies
Treatment Outcome
Reg. No./Substance:
Comment In:
Eur J Cardiothorac Surg. 2006 May;29(5):864; author reply 865   [PMID:  16603371 ]

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