Patients who have undergone a Blalock-Taussig anastomosis for treatment of congenital heart disease may have the vascular anatomy of the subclavian steal syndrome. Cerebral ischemia has been reported in such patients, but not when total surgical correction has eliminated other predisposing factors. We report a patient who developed vertebrobasilar insufficiency 31 years after Blalock-Taussig an...

BACKGROUND Shunt vessels were imaged and shunt flow was analysed by cross sectional and Doppler echocardiography in 12 patients who had had 14 shunt procedures (nine left Blalock-Taussig shunts, three right Blalock-Taussig shunts, one modified Waterston shunt, and one central shunt). METHODS The shunt vessels were classified by echocardiography as uniformly patent, segmentally stenosed, and u...

the aim of this study is to evaluate early and late results of surgery in children with congenital heart disease and decreased pulmonary blood flow, who underwent a palliative systemic-to-pulmonary shunt. during the past 9 years, 157 systemic-to-pulmonary artery shunts were performed in 130 patients (69 males, 61 females) with ages from 1 day to 31 years old. they had been evaluated for their c...

A 4 year old girl with an underlying diagnosis of atrioventricular discordance, double outlet right ventricle with pulmonary valvar atresia, and subpulmonary ventricular septal defect, was admitted for elective surgery. She had had surgery as a neonate to insert a right 5 mm Gore-tex modified Blalock Taussig shunt, and again at 3 years old for formation of a bidirectional Glenn anastomosis. Car...