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A novel technique for creation of a systemic-to-pulmonary arterial shunt

Published online by Cambridge University Press:  14 April 2005

Gürkan Çetin ,
Ahmet Özkara ,
Ilksen Söyler  and
Emin Tireli
Gürkan Çetin
Affiliation:
Department of Cardiovascular Surgery, Medical Faculty of Istanbul, Institute of Cardiology, Istanbul, Turkey
Ahmet Özkara
Affiliation:
Department of Cardiovascular Surgery, Medical Faculty of Istanbul, Institute of Cardiology, Istanbul, Turkey
Ilksen Söyler
Affiliation:
Department of Cardiovascular Surgery, Medical Faculty of Istanbul, Istanbul University, Istanbul, Turkey
Emin Tireli
Affiliation:
Department of Cardiovascular Surgery, Medical Faculty of Istanbul, Istanbul University, Istanbul, Turkey
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Abstract

A systemic-to-pulmonary arterial shunt is still widely used for palliation of some neonates with cyanotic congenital cardiac lesions. This procedure, however, is well known to be associated with some degree of morbidity and mortality. To reduce the incidence of iatrogenic pulmonary arterial deformities, we have devised a new and simple technique to create the shunt using a partial sternotomy, and have used our technique in 10 neonates with cyanotic cardiac malforamations. All but one of our patients survived, and an early reoperation was needed in only one further patient for revision of the shunt. Successful bidirectional Glenn procedures were performed in five of the nine surviving patients within 18 months of the initial procedure. We believe that our technique provides superior palliation by permitting equal enlargement of the right and left pulmonary arteries, and thus facilitates subsequent completion of the Fontan circulation.

Keywords

Palliative surgical procedurespulmonary trunkpartial sternotomy
Type
Original Article
Information
Cardiology in the Young , Volume 15 , Issue 1 , January 2005 , pp. 31 - 34
Copyright
2005 Cambridge University Press

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