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The Journal of Thoracic and Cardiovascular Surgery, Vol 85, 917-922, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RA Guyton, JE Owens, JD Waumett, KJ Dooley, CR Hatcher Jr and WH Williams
The Blalock-Taussig shunt has been used at our institution in 64 infants
with cyanotic congenital heart disease who required palliation. Thirty-one
of these children were less than 2 months of age at the time of operation.
There were no early shunt closures. There were two hospital deaths (3%).
There was only one hospital death in the 31 patients less than 60 days old.
According to a life-table analysis, 87% +/- 9% (+/- 95% confidence limits)
of the shunts were functioning at 1 year and 78% +/- 12% at 2 years.
Results are similar in the subgroup of children less than 60 days of age at
the time of operation or in the subgroup of children weighing less than
3,999 gm at operation. In infants with small pulmonary arteries, pulmonary
arterial growth was excellent (ipsilateral pulmonary artery/descending
aorta ratio 0.70 leads to 0.95 in 550 days, p less than 0.001;
contralateral ratio 0.73 leads to 0.99 in 550 days, p less than 0.001). The
Blalock-Taussig shunt can be performed with low risk, provides excellent
palliation, and is associated with excellent pulmonary artery growth.
ARTICLES
The Blalock-Taussig shunt. Low risk, effective palliation, and pulmonary artery growth
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