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Ann Thorac Surg 1980;29:570-572
© 1980 The Society of Thoracic Surgeons


Articles

Construction of Interposition Polytetrafluoroethylene Ascending Aorta–Pulmonary Artery Shunt

James M. Ciaravella, Jr., M.D.*, Frank M. Midgley, M.D.

Department of Cardiovascular Surgery, Children's Hospital National Medical Center, and the Depertment of Child Health and Development, George Washington University Medical School, Washington, DC

Accepted for publication August 13, 1979.

* Address reprint requests to Dr. Ciaravella, Department of Cardiovascular Surgery, Children's Hospital National Medical Center, 111 Michigan Ave, NW, Washington, DC 20010

The technique for constructing an ascending aorta–right pulmonary artery interposition shunt using a short segment of polytetrafluoroethylene is described. This technique has been used in 8 neonates ranging from 1 day to 11 months old. There has been 1 shunt-related death. There have been no clotted grafts or graft kinking noted. A continuous running suture placed before the graft is lowered into position facilitates exposure and suture placement. A median sternotomy or sternal transection has not been necessary.




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Ann. Thorac. Surg.Home page
E. L. Bove, H. M. Sondheimer, R.-E. W. Kavey, C. J. Byrum, M. S. Blackman, and F. B. Parker Jr.
Subclavian--Pulmonary Artery Shunts with Polytetrafluoroethylene Interposition Grafts
Ann. Thorac. Surg., January 1, 1984; 37(1): 88 - 91.
[Abstract] [PDF]




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