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Ann Thorac Surg 1980;30:137-145
© 1980 The Society of Thoracic Surgeons


Articles

Postoperative Angiographic Assessment of Modified Blalock-Taussig Shunts Using Expanded Polytetrafluoroethylene (Gore-Tex)

Roxane McKay, M.D., F.R.C.S., Marc R. de Leval, M.D.*, Philip Rees, M.R.C.P., James F.N. Taylor, M.D., Fergus J. Macartney, M.B., Jaroslav Stark, M.D.

From the Thoracic Unit, The Hospital for Sick Children, Great Ormond Street, London, England

* Address reprint requests to Mr. de Leval, Thoracic Unit, The Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, England

Thirty-six of 87 modified Blalock-Taussig shunts done with expanded polytetrafluoroethylene (Gore-Tex) were restudied angiocardiographically. In 7 patients the study was carried out within 1 month of the shunt operation because the patients failed to make satisfactory clinical progress. Two shunts were occluded and 1 was itenosed; all 3 were in neonates. The remaining 29 patients were reinvestigated electively between 5 and 29 months postoperatively and had a 97% shunt patency rate. Because of the rather high incidence of irregular or stenosed shunts among neonates with 4 mm conduits, we now prefer to use a larger conduit even in this age group.




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