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Modified Blalock-Taussig Shunt in Neonates: Determinants of Immediate Outcome

Department of Cardiothoracic and Vascular Surgery Cardiothoracic Sciences Centre All India Institute of Medical Sciences New Delhi, India

For reprint information contact: Anil Bhan, MCh Tel: 91 11 686 4851 Fax: 91 11 686 2663 email: anil_bhan{at}hotmail.com Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

Forty-six neonates with various conditions of low pulmonary blood flow received a modified Blalock-Taussig shunt with a polytetrafluoroethylene graft. Ages ranged from 2 to 30 days (mean, 14.1 days). Hospital mortality was 10.9%. Shunt block requiring reoperation occurred in 3 patients. Incremental risk factors for early mortality were found to be restrictive atrial septal defect, univentricular physiology, and postoperative reintervention. It was found that a Blalock-Taussig shunt could be performed in the neonatal period with a predictable outcome. Single-ventricle physiology and restrictive atrial septal defect were the major determinants of outcome in this subgroup.

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				S. K Swain, A. K Dharmapuram, P. Reddy, N. Ramdoss, S. S Raghavan, and S. M Kona Neonatal Blalock-Taussig Shunt: Technical Aspects and Postoperative Management Asian Cardiovasc Thorac Ann, February 1, 2008; 16(1): 7 - 10. [Abstract] [Full Text] [PDF]