A simple method of treating seromas involving modified Blalock-Taussig shunts

Cheng, Lik Cheung; Chiu, Chia-Yu

doi:10.1017/s1047951103001008

Cited by 1 publication

(2 citation statements)

References 6 publications

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“…For example, to reattach the original graft to the descending aorta was a surgical alternate. 72 Conservative management with intraluminal fibrin glue, or intravenous fibrinogen administration once succeeded. 73,74 Phrenic nerve injury was seen most frequently following classic or modified B-T shunts, accounting for up to 7% of all B-T shunts.…”

Section: Complications Of the Proceduresmentioning

confidence: 99%

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The Blalock-Taussig Shunt

Yuan

Shinfeld

Raanani

2009

Journal of Cardiac Surgery

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Background and aim of the study: Even though the Blalock-Taussig (B-T) shunt, either classic or modified, has been advocated and successfully employed in clinical practice for more than half a century, a systemic review on this procedure is still scanty. This warrants us a zest in making a comprehensive survey on this subject. Methods: Articles were extensively retrieved from the MEDLINE database of National Library of Medicine USA if the abstract contained information relevant to the B-T shunt in terms of the conduit options, modified surgical techniques, surgical indications, short-and long-term results, complications, and prognosis. Further retrieval was undertaken by manually searching the reference list of relevant papers. Results: Classical or modified B-T shunts, either on ipsilateral or contralateral side to the aortic arch, can be performed on patients of any age with minimum postoperative complications and low operative mortality. Expended polytetrafluoroethylene has gained satisfactory long-term patency rate in the construction of the modified B-T shunt. Excellent pulmonary artery growth was observed in the patients with a modified B-T shunt, and it has shown superb prognosis over the classic with regard to hemodynamics, patency rate, and survival. Conclusions: The modified B-T shunt that was developed on basis of the classic fashion remains the preferable palliative procedure aiming at enhancing pulmonary blood flow for neonates and infants with complicated cyanotic congenital heart defects. The modified B-T shunt is technically simpler with less dissection, and blood flow to the respective arm is not jeopardized. It has been proved to be of low risk, excellent palliation, and is associated with excellent pulmonary artery growth, has become the most effective palliative shunt procedure of today. doi: 10.1111/j.1540-8191.2008.00758.x (J Card Surg 2009;24:101-108) Complex cyanotic congenital heart disease may occasionally be unsuitable for surgical correction, but for palliative procedure only. 1 In 1945, prior

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Section: Complications Of the Proceduresmentioning

confidence: 99%

“…In most cases, a surgical intervention was necessary. For example, to reattach the original graft to the descending aorta was a surgical alternate 72 . Conservative management with intraluminal fibrin glue, or intravenous fibrinogen administration once succeeded 73,74 …”

Section: Complications Of the Proceduresmentioning

confidence: 99%