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Ann Thorac Surg 2007;84:1617-1618. doi:10.1016/j.athoracsur.2007.07.096
© 2007 The Society of Thoracic Surgeons
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Original Articles: Cardiovascular

Invited commentary

Shunji Sano, MD, PhD

Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan

(Email: s_sano@cc.okayama-u.ac.jp).

The first 20% of the full text of this article appears below.

The right ventricle-pulmonary artery (RV-PA) shunt was first introduced by Norwood and colleagues [1] in 1981 as a first-stage palliation of hypoplastic left heart syndrome (HLHS) and was abandoned until 1998 when we started using this technique with the modification of a small nonvalved polytetrafluoroethylene (PTFE) graft [2]. Since then, many centers have adopted stage I palliation with an RV-PA shunt and reported significant improvement in stage I mortality and morbidity. In some centers, mortality in stage I palliation has dropped below 10% [3]. However, controversies still remain regarding the systemic-to-pulmonary shunt versus the RV-PA shunt on the long-term results of HLHS [4].

In this article, Januszewska and colleagues [. . . [Full Text of this Article]


Related Article

Consequences of Right Ventricle–to–Pulmonary Artery Shunt at the First Stage for the Fontan Operation
Katarzyna Januszewska, Adam Stebel, and Edward Malec
Ann. Thorac. Surg. 2007 84: 1611-1617. [Abstract] [Full Text] [PDF]





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Copyright © 2007 by The Society of Thoracic Surgeons.