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