Intervention on Surgical Systemic-to-Pulmonary Artery Shunts
نویسندگان
چکیده
منابع مشابه
Clopidogrel in infants with systemic-to-pulmonary-artery shunts.
BACKGROUND Infants with cyanotic congenital heart disease palliated with placement of a systemic-to-pulmonary-artery shunt are at risk for shunt thrombosis and death. We investigated whether the addition of clopidogrel to conventional therapy reduces mortality from any cause and morbidity related to the shunt. METHODS In a multicenter, double-blind, event-driven trial, we randomly assigned in...
متن کاملSystemic-Pulmonary Arterial Shunts
Results of systemic to pulmonary arterial shunts during the first year of life are reported in 86 infants under one year of age. Survival rates were highest in older patients and among infants whose basic cardiac defects were considered to be eventually amenable to surgical repair. Persistent hypoxia accounted for the majority of deaths. Congestive heart failure secondary to too large anastomos...
متن کاملThe Need for Systemic - Pulmonary Artery Shunts in the Surgical Management of Tetralogy of Fallot
IN 1944, Blalock and Taussig demonstrated that surgical establishment of shunts between the aorta and pulmonary artery brought partial, but dramatic, relief for patients suffering from the tetralogy of Fallot. Ijiterally thousands of humans have received palliation from this important operation. In 1955, Lillehei and his associates were the first to develop methods for the total, intracardiae c...
متن کاملBalloon angioplasty for obstructed modified systemic-pulmonary artery shunts and pulmonary artery stenoses.
OBJECTIVES The results of percutaneous balloon angioplasty for obstructed modified Blalock-Taussig (BT) or central shunts and pulmonary artery (PA) stenoses were studied to assess its role as an alternative to second shunt and surgical PA angioplasty. BACKGROUND Obstruction of a modified shunt and PA stenosis related to the shunt or ductus are not infrequent. A second shunt with or without PA...
متن کاملSpontaneous occlusion of systemic-to-pulmonary arterial shunts.
M OTZ. AND HIS COLLEAGUES ADDRESS AN OLD, but still important problem, namely spontaneous occlusion of systemic-topulmonary arterial shunts. With the current emphasis on neonatal repair, as opposed to staging operations, the focus of this discussion has shifted from tetralogy of Fallot and its related lesions to hypoplastic left heart syndrome. Patients undergoing the Norwood operation now comp...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2017
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2017.05.023