Shunt resistance is associated with clinically important outcomes after the Norwood operation

Commentary: A big shunt is an early liability, a late asset

“…Aortopulmonary shunt resistance is the subject of the current study by Spigel and colleagues. 1 The authors use data from the Single Ventricle Reconstruction (SVR) trial that include measurements to calculate resistance across aortopulmonary shunts. Death or transplant at 1 year, branch pulmonary artery size at second-stage surgery, and the use of supplemental oxygen were analyzed.…”