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A novel technique for creation of a systemic-to-pulmonary arterial shunt

  • Gürkan Çetin (a1), Ahmet Özkara (a1), Ilksen Söyler (a2) and Emin Tireli (a2)

Abstract

A systemic-to-pulmonary arterial shunt is still widely used for palliation of some neonates with cyanotic congenital cardiac lesions. This procedure, however, is well known to be associated with some degree of morbidity and mortality. To reduce the incidence of iatrogenic pulmonary arterial deformities, we have devised a new and simple technique to create the shunt using a partial sternotomy, and have used our technique in 10 neonates with cyanotic cardiac malforamations. All but one of our patients survived, and an early reoperation was needed in only one further patient for revision of the shunt. Successful bidirectional Glenn procedures were performed in five of the nine surviving patients within 18 months of the initial procedure. We believe that our technique provides superior palliation by permitting equal enlargement of the right and left pulmonary arteries, and thus facilitates subsequent completion of the Fontan circulation.

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Corresponding author

Correspondence to: Ahmet Özkara, Toprakkale sokak Gülsoy apt, No. 16/8, Etiler 34337, Istanbul, Turkey. Tel: +90 212 459 2083; Fax: +90 212 459 2069; E-mail: aozkara@superonline.com

References

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References

Alkhulaifi AM, Lacour-Gayet F, Serraf A, Belli E, Planche C. Systemic pulmonary shunts in neonates: Early clinical outcome and choice of surgical approach. Ann Thorac Surg 2000; 69: 14991504.
Potapov EV, Alexi-Meskishvili VV, Dahnert I, et al. Development of pulmonary arteries after central aortopulmonary shunt in newborns. Ann Thorac Surg 2001; 71: 899906.
Tamisier D, Vouhe PR, Vernant F, et al. Modified Blalock–Taussig shunts: Results in infants less than 3 months of ages. Ann Thorac Surg 1990; 49: 797801.
Tireli E, Basaran M. Aortopulmonary shunts in neonates. Ann Thorac Surg 2001; 72: 21872188.
Rodefeld MD, Reddy VM, Thompson LD, et al. Surgical creation of aortapulmonary window in selected patients with pulmonary atresia with poorly developed aortapulmonary collaterals and hypoplastic pulmonary arteries. J Thorac Cardiovasc Surg 2002; 123: 11471154.

Keywords

A novel technique for creation of a systemic-to-pulmonary arterial shunt

  • Gürkan Çetin (a1), Ahmet Özkara (a1), Ilksen Söyler (a2) and Emin Tireli (a2)

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