Accordion-like prosthesis for modified Blalock-Taussig shunt.

Détails

ID Serval
serval:BIB_D9B84121E05C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Accordion-like prosthesis for modified Blalock-Taussig shunt.
Périodique
Asian Cardiovascular & Thoracic Annals
Auteur(s)
Corno A.F., Hurni M., Tozzi P., von Segesser L.K.
ISSN
0218-4923
Statut éditorial
Publié
Date de publication
2003
Volume
11
Numéro
3
Pages
229-232
Langue
anglais
Notes
Journal Article --- Old month value: Sep
Résumé
From March 1996 to July 2002, 26 consecutive patients, with a mean age of 17.9 months and a mean body weight of 6.6 kg, underwent the modified Blalock-Taussig shunt with a tubular accordion-like prosthesis. In a mean follow-up period (defined as the interval between the shunt procedure and repair or last evaluation) of 10.9 months (range, 1 to 32 months), there were 1 death due to excessive pulmonary blood flow in a neonate with hypoplastic left heart syndrome and 3 reoperations to correct shunt-related problems, 2 of them early and 1 late (to regulate pulmonary blood flow after left ventricular retraining for transposition of the great arteries). There was no occurrence of shunt obstruction or kinking. Other shunt-related early complications, such as bleeding, infection, or serous fluid leakage, did not occur, and no patient needed pulmonary artery reconstruction during surgical repair. Shunt patency was confirmed by Doppler echocardiography in all patients and also by angiography in 73% of the patients. This prospective study confirmed our preliminary results with this prosthesis. The use of this prosthesis is justified for reducing early and late complications potentially associated with the modified Blalock-Taussig shunt, particularly distortion of the pulmonary arteries.
Mots-clé
Cardiac Surgical Procedures, Child, Child, Preschool, Heart Defects, Congenital, Humans, Infant, Infant, Newborn, Prospective Studies, Prosthesis Implantation
Pubmed
Création de la notice
28/01/2008 10:43
Dernière modification de la notice
03/03/2018 21:53
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