Is sternotomy superior to thoracotomy for modified Blalock-Taussig shunt?

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False aneurysm following modified Blalock-Taussig shunt.

A nine month old infant with life threatening tracheal compression due to a Blalock-Taussig shunt aneurysm is described. Successful surgical management is discussed.

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Pseudoaneurysm following modified Blalock Taussig shunt.

The modified Blalock-Taussig (BT) shunt is a common palliative procedure for congenital cyanotic heart disease (CHD) with diminished pulmonary blood flow(1). In developing countries, definitive surgery usually gets delayed due to limited resources and expertise(2). Children with cyanotic CHD and BT shunt often present to the pediatrician resulting in some of the complications of BT shunt being ...

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Blalock - Taussig shunt . modified ( polytetrafluoroethylene ) Balloon dilatation of a stenosed

A 17 month old girl with tricuspid atresia, ventricular septal defect, subvalvar and valvar pulmonary stenosis, and increasing cyanosis had angiographic evidence ofproximal stenosis of a right modified (5 mm diameter) Blalock-Taussig shunt. She underwent palliative balloon angioplasty with a 6 mm Schneider balloon catheter. Successful dilatation was achieved without complication. Four months la...

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Balloon dilatation of a stenosed modified (polytetrafluoroethylene) Blalock-Taussig shunt.

A 17 month old girl with tricuspid atresia, ventricular septal defect, subvalvar and valvar pulmonary stenosis, and increasing cyanosis had angiographic evidence of proximal stenosis of a right modified (5 mm diameter) Blalock-Taussig shunt. She underwent palliative balloon angioplasty with a 6 mm Schneider balloon catheter. Successful dilatation was achieved without complication. Four months l...

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Modified Blalock Taussig shunt: a not-so-simple palliative procedure.

OBJECTIVES Thirty-two consecutive isolated modified Blalock Taussig (BT) shunts performed in infancy since 2004 were reviewed and analysed to identify the risk factors for shunt intervention and mortality. METHODS Sternotomy was the only approach used. Median age and weight were 10.5 (range 1-74) days and 2.9 (1.9-4.4) kg, respectively. Shunt palliation was performed for biventricular hearts ...

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2013

ISSN: 1569-9293,1569-9285

DOI: 10.1093/icvts/ivt513