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The Blalock-Taussig shunt in the newborn infant

1991; Elsevier BV; Volume: 102; Issue: 4 Linguagem: Inglês

10.1016/s0022-5223(20)31433-1

1097-685X

Vernon C. Smith, Anthony V. Caggiano, Daniel G. Knauf, James A. Alexander,

Neuroscience of respiration and sleep

Children with pulmonary oligemia often require palliation in the newborn period. The Blalock-Taussig shunt has been shown to offer adequate palliation in the older child, but its use in the newborn period remains controversial. A retrospective review of 51 neonates younger than age 2 weeks undergoing a Blalock-Taussig shunt (or modification) was performed. The operative mortality rate was 5.8%. Six children (15.4%) required reoperation in the first year of life for inadequate shunt function. The modification with interposition grafts necessitated reoperation more often than shunts performed with the subclavian artery.