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Akira Furuse
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Ann Thorac Surg 2000;69:940-942
© 2000 The Society of Thoracic Surgeons

Case Reports

Systemic-to-pulmonary shunt in a patient with isolation of the subclavian artery

Makoto Takeda, MDa, Akira Furuse, MDa, Shinichi Takamoto, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Address reprint requests to Dr Takeda, Division of Cardiovascular Surgery, Yokohama Rosai Hospital, 3211, Kozukue, Kouhoku-ku, Yokohama, Kanagawa 222-0036, Japan
e-mail: takedam-ind{at}umin.ac.jp

A surgical procedure is described that was carried out to treat an 18-month-old boy with tetralogy of Fallot, right aortic arch, and isolation of the left subclavian artery. The patient underwent a descending aorta-right pulmonary artery shunt using a polytetrafluoroethylene graft, as a systemic-pulmonary shunt. The effectiveness of this procedure in patients with some special conditions is discussed.






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