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Ann Thorac Surg 1997;64:847-849
© 1997 The Society of Thoracic Surgeons

Case Report

Use of Internal Thoracic Artery as a Systemic–Pulmonary Artery Shunt

Seiya Kikuchi, MD, Ryuji Kashino, MD, Tomio Abe, MD

Department of Cardiovascular Surgery, Hokkaido Children's Hospital and Medical Center, Otaru, Japan

Accepted for publication April 25, 1997.

Numerous technical and physiologic problems have been described with conventional systemic–pulmonary artery shunts. We report the case of a 1-year-old girl in whom the internal thoracic artery was used to create a systemic–pulmonary artery shunt after the failure of a previous Blalock-Taussig shunt. The internal thoracic artery as an alternative systemic–pulmonary artery shunt may offer several potential advantages and can be used successfully to improve cyanotic heart disease in selected cases.






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Copyright © 1997 by The Society of Thoracic Surgeons.