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Ascending Aorta to Right Pulmonary Artery Interposition Shunt in Critically III Infants
Author(s) -
Kessler Randolph M.,
Wernly Jorge A.,
Akl Bechara F.,
Rode Richard
Publication year - 1994
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1994.tb00821.x
Subject(s) - medicine , shunt (medical) , right pulmonary artery , perioperative , pulmonary artery , ascending aorta , surgery , aorta , critically ill , cardiology
A bstract In spite of a trend toward earlier complete repair, some neonates and infants with complex cyanotic heart disease continue to require interim palliation with systemic‐to‐pulmonary artery shunts. A variety of shunt procedures have been proposed, each with inherent advantages and disadvantages. We have found a prosthetic interposition shunt between the ascending aorta and right pulmonary artery (AA‐RPA) to be effective in very young infants with small vessels. Over a 15‐year period, 51 patients, mean weight 3.33 kg and mean age 59 days, underwent this procedure with a 13% perioperative mortality and a 78% 2‐year overall shunt patency rate. We conclude that the AA‐RPA interposition shunt is a safe, effective procedure in these infants. ( J Card Surg 1994;9:37–42 )