Aorto-pulmonary shunt in the premature infant: technical considerations.
In a 13-day-old, 1,300 gram premature infant with tricuspid atresia, a Potts-Smith anastomosis was successfully performed. We used a neurosurgical vessel clip, smaller than the smallest available vascular clamp, to side-clamp the descending aorta. This report appears to be the first of the construction of a Potts-Smith shunt in an infant of this size.
D001011:Aorta / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000601:surgery*; D008722:Methods; D011651:Pulmonary Artery / Q000601:surgery*; D013525:Surgical Instruments; D014264:Tricuspid Valve Stenosis / Q000151:congenital* / Q000601:surgery