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Ann Thorac Surg 1980;29:312-316
© 1980 The Society of Thoracic Surgeons

Articles

Long-Term Results of Shunt Procedures for Tricuspid Atresia

G.A. Trusler, M.D.*, W.G. Williams, M.D.

University of Toronto, and Hospital for Sick Children, Toronto, Ont, Canada

* Address reprint requests to Dr. Trusler, 555 University Ave, Suite 1215, Toronto, Ont, Canada

One hundred forty-eight infants and children with tricuspid atresia treated by one or more operations during a 31–year period were reviewed to indicate the long-term results of shunt procedures. In general, the Potts shunt was used most frequently in small infants while the Blalock anastomosis was preferred for children older than 3 to 6 months. The Glenn anastomosis appears to be a good secondary shunt but its use depends on specific anatomical features and the possibility of doing a Fontan procedure in the future. The duration of effective palliation for each shunt has been examined actuarially by life-table analysis. It is essential that shunts not only maintain adequate oxygen saturation but also preserve the patency, size, and shape of the pulmonary arteries and normal pulmonary vascular resistance.




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