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Ann Thorac Surg 2007;83:1886-1888
© 2007 The Society of Thoracic Surgeons

Case Reports

Reverse Blalock-Taussig Shunt Facilitates the Growth of the Ascending Aorta After Hybrid Palliation

Tae-Jin Yun, MD, PhDa,*, Won-Chul Cho, MDa, Sung-Ho Jung, MDa, Dong-Man Seo, MDa, Hyun-Woo Goo, MDc, Young-Hwue Kim, MDb

a Division of Pediatric Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea
b Division of Pediatric Cardiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea
c Department of Radiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea

Accepted for publication November 20, 2006.

* Address correspondence to Dr Yun, Division of Pediatric Cardiac Surgery, Asan Medical Center, 388-1 Poongnap-Dong, Songpa-Ku, Seoul, 138-736 Republic of Korea (Email: tjyun{at}amc.seoul.kr).

A 13-day-old baby girl with tricuspid atresia (IIc), who was prematurely born at 32 weeks and 5 days of gestation and weighed 2.2 kg, underwent bilateral pulmonary artery banding, ductal stenting, and reverse Blalock-Taussig shunt. Cardiac computerized tomography at 4 months postoperatively showed that the ascending aorta outgrew the somatic growth, presumably thanks to the forward flow through the reverse Blalock-Taussig shunt. At 6 months postoperatively, the patient underwent a successful second-stage operation.






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Copyright © 2007 by The Society of Thoracic Surgeons.