Document Detail


The modified blalock-taussig shunt using microporous expanded polytetrafluoroethylene (PTFE).
MedLine Citation:
PMID:  7107686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From May 1977 to February 1981, 36 modified Blalock-Taussig shunts were performed in 34 patients for a variety of cyanotic congenital cardiac lesions. Microporous expanded PTFE was utilised as a conduit between the subclavian artery and the ipsilateral pulmonary artery. Graft diameter was 4 mm in 15 cases, 6 mm in 17 cases, and 8 mm in the remaining 4. Age at time of operation ranged from one day to 22 years. Fourteen shunts were performed in infants less than one year old. Overall operative mortality was 5.5 per cent. There were 6 shunt failures (16.6%) and all were the smallest diameter graft. Overall actuarial shunt survival at 2 years was 81.2 per cent. This shunt has all the advantages of the original Blalock-Taussig procedure. In addition, it preserves the integrity of the subclavian artery and minimizes the technical problems associated with the classical shunt. It is the procedure of choice at our hospital.
Authors:
C E Lawless; E E Smith; K Hallidie-Smith; R N Sapsford
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  23     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1982 Jul-Aug
Date Detail:
Created Date:  1982-10-21     Completed Date:  1982-10-21     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  287-92     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Blood Vessel Prosthesis*
Child
Child, Preschool
Heart Defects, Congenital / physiopathology,  surgery*
Humans
Infant
Infant, Newborn
Methods
Polytetrafluoroethylene
Pulmonary Artery / abnormalities,  surgery*
Pulmonary Circulation
Subclavian Artery / surgery*
Tetralogy of Fallot / physiopathology,  surgery
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

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


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