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Ann Thorac Surg 1998;65:515-516
© 1998 The Society of Thoracic Surgeons

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Original Articles: Cardiovascular

Side-to-Side Aorto–Gore-Tex Central Shunt

Division of Cardiothoracic Surgery, Department of Surgery, University of California, Los Angeles Medical Center, Los Angeles, California, USA

Accepted for publication August 1, 1997.

Dr Laks, Division of Cardiothoracic Surgery, University of California, Los Angeles Medical Center, Box 951741, Los Angeles, CA 90095-1741.

Background. This report details our experience in 13 patients with a technical modification of the standard central shunt.

Methods. The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created in a side-to-side fashion with the free end of the Gore-Tex shunt being oversewn.

Results. All patients had echocardiographic evidence of shunt patency in the immediate postoperative period, and there have been no cases of late shunt occlusion at a mean follow-up period of 10 months.

Conclusions. We believe this approach will yield patency rates equivalent to or better than those of the standard central shunt. The technique has the advantage of creating a short, straight-lying shunt that is less likely to kink or be injured on repeated sternotomy and in which flow may be more reliable.

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