A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts

Jeffrey P. Gold, Kimon Violaris, Mary Allen Engle, Arthur A. Klein, Kathryn H. Ehlers, Samuel J. Lang, Aaron R. Levin, Frank Moran, John E. O'Loughlin, Michael S. Snyder, Nunzia Fatica, Daniel S. Notterman, O. Wayne Isom

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

In spite of recent advances in neonatal open repair for complex cyanotic heart disease, some patients require palliation with a systemic‐to‐pulmonary artery shunt. We report a 5‐year experience (1985–1990) with 112 Blalock‐Taussig shunts. Forty‐six of the 92 patients had some variant of tetralogy of Fallot, with a wide spectrum of diagnoses in the remainder. The median age at surgery was 3 months. A classic Blalock‐Taussig shunt was done in 26% (group I), and a 4‐ or 5‐mm PTFE graft was utilized in the remainder (group II). The technical aspects of each of the procedures are reviewed. There were three early deaths in the entire group, none of them related to Blalock‐Taussig shunt function. There was no incidence of early shunt insufficiency, bleeding, infection, limb ischemia, or pulmonary artery distortion. There was a 21% incidence of clinical congestive heart failure, seen somewhat more commonly in group I. The overall need for reshunting/open repair was similar in both groups, but there was a statistically longer interval between the initial Blalock‐Taussig shunt and the second procedure in group I (21.6 vs 12.4 months). The Blalock‐Taussig shunt remains a safe, reliable, and effective means of increasing pulmonary flow. J Card Surg 1993; 8:9–17

Original languageEnglish (US)
Pages (from-to)9-17
Number of pages9
JournalJournal of Cardiac Surgery
Volume8
Issue number1
DOIs
StatePublished - Jan 1993

Fingerprint

Tetralogy of Fallot
Incidence
Polytetrafluoroethylene
Pulmonary Artery
Heart Diseases
Ischemia
Extremities
Heart Failure
Arteries
Hemorrhage
Transplants
Lung
Infection

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Gold, J. P., Violaris, K., Engle, M. A., Klein, A. A., Ehlers, K. H., Lang, S. J., ... Isom, O. W. (1993). A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts. Journal of Cardiac Surgery, 8(1), 9-17. https://doi.org/10.1111/j.1540-8191.1993.tb00571.x

A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts. / Gold, Jeffrey P.; Violaris, Kimon; Engle, Mary Allen; Klein, Arthur A.; Ehlers, Kathryn H.; Lang, Samuel J.; Levin, Aaron R.; Moran, Frank; O'Loughlin, John E.; Snyder, Michael S.; Fatica, Nunzia; Notterman, Daniel S.; Isom, O. Wayne.

In: Journal of Cardiac Surgery, Vol. 8, No. 1, 01.1993, p. 9-17.

Research output: Contribution to journalArticle

Gold, JP, Violaris, K, Engle, MA, Klein, AA, Ehlers, KH, Lang, SJ, Levin, AR, Moran, F, O'Loughlin, JE, Snyder, MS, Fatica, N, Notterman, DS & Isom, OW 1993, 'A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts', Journal of Cardiac Surgery, vol. 8, no. 1, pp. 9-17. https://doi.org/10.1111/j.1540-8191.1993.tb00571.x
Gold, Jeffrey P. ; Violaris, Kimon ; Engle, Mary Allen ; Klein, Arthur A. ; Ehlers, Kathryn H. ; Lang, Samuel J. ; Levin, Aaron R. ; Moran, Frank ; O'Loughlin, John E. ; Snyder, Michael S. ; Fatica, Nunzia ; Notterman, Daniel S. ; Isom, O. Wayne. / A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts. In: Journal of Cardiac Surgery. 1993 ; Vol. 8, No. 1. pp. 9-17.
@article{6d8fc0965d3e4bf5ac34b92ed9a8e094,
title = "A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts",
abstract = "In spite of recent advances in neonatal open repair for complex cyanotic heart disease, some patients require palliation with a systemic‐to‐pulmonary artery shunt. We report a 5‐year experience (1985–1990) with 112 Blalock‐Taussig shunts. Forty‐six of the 92 patients had some variant of tetralogy of Fallot, with a wide spectrum of diagnoses in the remainder. The median age at surgery was 3 months. A classic Blalock‐Taussig shunt was done in 26{\%} (group I), and a 4‐ or 5‐mm PTFE graft was utilized in the remainder (group II). The technical aspects of each of the procedures are reviewed. There were three early deaths in the entire group, none of them related to Blalock‐Taussig shunt function. There was no incidence of early shunt insufficiency, bleeding, infection, limb ischemia, or pulmonary artery distortion. There was a 21{\%} incidence of clinical congestive heart failure, seen somewhat more commonly in group I. The overall need for reshunting/open repair was similar in both groups, but there was a statistically longer interval between the initial Blalock‐Taussig shunt and the second procedure in group I (21.6 vs 12.4 months). The Blalock‐Taussig shunt remains a safe, reliable, and effective means of increasing pulmonary flow. J Card Surg 1993; 8:9–17",
author = "Gold, {Jeffrey P.} and Kimon Violaris and Engle, {Mary Allen} and Klein, {Arthur A.} and Ehlers, {Kathryn H.} and Lang, {Samuel J.} and Levin, {Aaron R.} and Frank Moran and O'Loughlin, {John E.} and Snyder, {Michael S.} and Nunzia Fatica and Notterman, {Daniel S.} and Isom, {O. Wayne}",
year = "1993",
month = "1",
doi = "10.1111/j.1540-8191.1993.tb00571.x",
language = "English (US)",
volume = "8",
pages = "9--17",
journal = "Journal of Cardiac Surgery",
issn = "0886-0440",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - A Five‐Year Clinical Experience with 112 Blalock‐Taussig Shunts

AU - Gold, Jeffrey P.

AU - Violaris, Kimon

AU - Engle, Mary Allen

AU - Klein, Arthur A.

AU - Ehlers, Kathryn H.

AU - Lang, Samuel J.

AU - Levin, Aaron R.

AU - Moran, Frank

AU - O'Loughlin, John E.

AU - Snyder, Michael S.

AU - Fatica, Nunzia

AU - Notterman, Daniel S.

AU - Isom, O. Wayne

PY - 1993/1

Y1 - 1993/1

N2 - In spite of recent advances in neonatal open repair for complex cyanotic heart disease, some patients require palliation with a systemic‐to‐pulmonary artery shunt. We report a 5‐year experience (1985–1990) with 112 Blalock‐Taussig shunts. Forty‐six of the 92 patients had some variant of tetralogy of Fallot, with a wide spectrum of diagnoses in the remainder. The median age at surgery was 3 months. A classic Blalock‐Taussig shunt was done in 26% (group I), and a 4‐ or 5‐mm PTFE graft was utilized in the remainder (group II). The technical aspects of each of the procedures are reviewed. There were three early deaths in the entire group, none of them related to Blalock‐Taussig shunt function. There was no incidence of early shunt insufficiency, bleeding, infection, limb ischemia, or pulmonary artery distortion. There was a 21% incidence of clinical congestive heart failure, seen somewhat more commonly in group I. The overall need for reshunting/open repair was similar in both groups, but there was a statistically longer interval between the initial Blalock‐Taussig shunt and the second procedure in group I (21.6 vs 12.4 months). The Blalock‐Taussig shunt remains a safe, reliable, and effective means of increasing pulmonary flow. J Card Surg 1993; 8:9–17

AB - In spite of recent advances in neonatal open repair for complex cyanotic heart disease, some patients require palliation with a systemic‐to‐pulmonary artery shunt. We report a 5‐year experience (1985–1990) with 112 Blalock‐Taussig shunts. Forty‐six of the 92 patients had some variant of tetralogy of Fallot, with a wide spectrum of diagnoses in the remainder. The median age at surgery was 3 months. A classic Blalock‐Taussig shunt was done in 26% (group I), and a 4‐ or 5‐mm PTFE graft was utilized in the remainder (group II). The technical aspects of each of the procedures are reviewed. There were three early deaths in the entire group, none of them related to Blalock‐Taussig shunt function. There was no incidence of early shunt insufficiency, bleeding, infection, limb ischemia, or pulmonary artery distortion. There was a 21% incidence of clinical congestive heart failure, seen somewhat more commonly in group I. The overall need for reshunting/open repair was similar in both groups, but there was a statistically longer interval between the initial Blalock‐Taussig shunt and the second procedure in group I (21.6 vs 12.4 months). The Blalock‐Taussig shunt remains a safe, reliable, and effective means of increasing pulmonary flow. J Card Surg 1993; 8:9–17

UR - http://www.scopus.com/inward/record.url?scp=0027439859&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027439859&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8191.1993.tb00571.x

DO - 10.1111/j.1540-8191.1993.tb00571.x

M3 - Article

C2 - 8422496

AN - SCOPUS:0027439859

VL - 8

SP - 9

EP - 17

JO - Journal of Cardiac Surgery

JF - Journal of Cardiac Surgery

SN - 0886-0440

IS - 1

ER -