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Ann Thorac Surg 1989;47:464-465
© 1989 The Society of Thoracic Surgeons

Articles

Systemic-to-pulmonary artery shunt using the internal mammary artery

Michael T. Longaker, MD, Scot Merrick, MD, Timothy M. Crombleholme, MD, Jacob C. Langer, MD, Edward D. Verrier, MD*, Kevin Turley, MD

Department of Surgery, University of California, San Francisco, California, USA

Accepted for publication September 23, 1988.

* Address reprint requests to Dr Verrier, Department of Surgery, M 896, University of California, San Francisco, CA 94143.

Systemic-to-pulmonary artery shunts may be useful for palliation of cyanotic congenital heart disease. We report the case of a 5-year-old boy in whom the internal mammary artery was used to create a systemic-to-pulmonary artery shunt after failure of a previous Blalock-Taussig shunt. This technique may have distinct advantages in selected cases and should be considered as an alternative during investigation of the older child who requires a systemic-to-pulmonary artery shunt.




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