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Duct Stenting Versus Modified Blalock-Taussig Shunt in Neonates With Duct-Dependent Pulmonary Blood Flow
Author(s) -
James R. Bentham,
Ngoni Khomisani Zava,
Wendy J. Harrison,
Arjamand Shauq,
Atul Kalantre,
Graham Derrick,
Robin Hay-Son Chen,
Rami Dhillon,
Demetris Taliotis,
SokLeng Kang,
David Crossland,
Akintayo Adesokan,
Anthony Hermuzi,
Vikram Kudumula,
Sanfui Yong,
Patrick Noonan,
Nicholas Hayes,
Oliver Stümper,
John Thomson
Publication year - 2017
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.117.028972
Subject(s) - medicine , shunt (medical) , surgery , hypoplastic left heart syndrome , pulmonary artery , extracorporeal membrane oxygenation , tetralogy of fallot , norwood procedure , thoracic duct , cardiology , heart disease , lymphatic system , immunology
Infants born with cardiac abnormalities causing dependence on the arterial duct for pulmonary blood flow are often palliated with a shunt usually between the subclavian artery and either pulmonary artery. A so-called modified Blalock-Taussig shunt allows progress through early life to an age and weight at which repair or further more stable palliation can be safely achieved. Modified Blalock-Taussig shunts continue to present concern for postprocedural instability and early mortality such that other alternatives continue to be explored. Duct stenting (DS) is emerging as one such alternative with potential for greater early stability and improved survival.

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