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The Journal of Thoracic and Cardiovascular Surgery, Vol 71, 49-57, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
FS Idriss, CA Cavallo, H Nikaidoh, MH Paul, R Koopot and AJ Muster
Seventy-seven patients with ascending aorta-right pulmonary artery shunt
were reviewed; 48 had tetralogy of Fallot, 9 had pulmonary atresia, 11 had
transposition of the great vessels with pulmonary stenosis, 4 had tricuspid
atresia, and 5 had miscellaneous complex lesions. Their ages ranged from
one day to 13 years. The over-all mortality rate was 17.8 per cent. Ten
patients underwent total repair and takedown of the shunt with no deaths.
The problems of increased pulmonary flow, pulmonary hypertension,
preferential flow to one lung, kinking and distortion of the pulmonary
artery, and the technical difficulties at the time of takedown were
reviewed and discussed.
ARTICLES
Ascending aorta-right pulmonary artery shunt
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