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Ann Thorac Surg 1976;22:235-238
© 1976 The Society of Thoracic Surgeons
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, and the Division of Pediatric Cardiology, Department of Pediatrics, University of Wisconsin Medical Center, Madison, WI.
* Address reprint requests to Dr. Chopra, University of Wisconsin Medical Center, 1300 University Ave, Madison, WI 53706.
From 1971 to 1975, 17 consecutive patients aged 1 day to 4 years underwent Blalock-Taussig shunts for severe tetralogy of Fallot. Three infants were under 6 weeks of age and 7 (41%) under 1 year. There were no hospital deaths. Modification of the shunt technique adapts it to any size infant. The subclavian artery is divided at its major branches and the end spatulated to enlarge it. The artery is occluded while the shunt is constructed.
No intraoperative complications were encountered; all patients have a shunt murmur with no early or late closure. No child has had heart failure or hypoxic spells. Flows measured at operation equaled one-quarter to one-half of the child's normal cardiac output. Ligation of the shunt at subsequent repair is uncomplicated. One child died three years later at correction from causes unrelated to the shunt.
With appropriate modifications in technique, the Blalock-Taussig shunt is the operation of choice, at any age, for palliation of severe tetralogy of Fallot.
This article has been cited by other articles:
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P. K. Woolf, L. W. Stephenson, E. Meijboom, J. H. Bavinck, T. J. Gardner, J. S. Donahoo, R. N. Edie, and L. H. Edmunds Jr. A Comparison of Blalock-Taussig, Waterston, and Polytetrafluoroethylene Shunts in Children Less Than Two Weeks of Age Ann. Thorac. Surg., July 1, 1984; 38(1): 26 - 30. [Abstract] [PDF]
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J. S. Donahoo, T. J. Gardner, K. Zahka, and B. S. L. Kidd Systemic-Pulmonary Shunts in Neonates and Infants Using Microporous Expanded Polytetrafluoroethylene: Immediate and Late Results Ann. Thorac. Surg., August 1, 1980; 30(2): 146 - 150. [Abstract] [PDF]
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D. A. Browdie, W. Norberg, R. Agnew, B. Altenburg, R. Ignacio, and C. Hamilton The Use of Prostaglandin E1 and Blalock-Taussig Shunts in Neonates with Cyanotic Congenital Heart Disease Ann. Thorac. Surg., June 1, 1979; 27(6): 508 - 513. [Abstract] [PDF]
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E. Arciniegas, E. H. Blackstone, A. D. Pacifico, and J. W. Kirklin Classic Shunting Operations as Part of Two-Stage Repair for Tetralogy of Fallot Ann. Thorac. Surg., June 1, 1979; 27(6): 514 - 518. [Abstract] [PDF]
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K. R. T. Tyson, A. J. Larrieu, and J. T. Kirchmer Jr. The Blalock-Taussig Shunt in the First Two Years of Life: A Safe and Effective Procedure Ann. Thorac. Surg., July 1, 1978; 26(1): 38 - 41. [Abstract] [PDF]
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