title: [Left subclavian-pulmonary trunk fistula with a vascular prosthesis as palliative treatment in Fallot conditions].
abstract: In this paper, our experience with a new systemic-to-pulmonary artery shunt: subclavian-pulmonary artery trunk shunt with PTFE (central shunt) is presented. Between November 1985 and March 1990 this central shunt was employed in 8 children with ages ranged between 4 days and 3 years, and weights between 2 and 12 kg. Diagnosis were Fallot's tetralogy in three; pulmonary atresia with intact septum in three; complete AV canal and Fallot's tetralogy in one, and univentricular heart and pulmonary atresia in 1 patient. There were no surgical deaths. Hospital mortality was present in 1 case (AV canal and Fallotś tetralogy) at the moment of reoperation 1 month later. Follow-up ranged between 2 and 46 months. One case, pulmonary atresia with intact septum, has undergone total correction. The remainder 6 cases are in good situation with O2 saturation above 70%. This central shunt has the advantages to provide a bidirectional blood flow to both pulmonary branches avoiding the risk of direct damage in the pulmonary arteries found with the conventional aorto-pulmonary shunts.
authors.affiliation: Servicio de Cirugía Cardiovascular, Hospital Infantil La Paz, Madrid.
authors.forename: G
authors.initials: G
authors.lastname: Cordovilla Zurdo
authors.forename: J
authors.initials: J
authors.lastname: Cabo Salvador
authors.forename: E
authors.initials: E
authors.lastname: Sanz Galeote
authors.forename: F
authors.initials: F
authors.lastname: Alvarez Díaz
mesh_terms: D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000379:methods; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010166:Palliative Care / Q000379:methods*; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*
vernacular_title: Fístula subclavia izquierda-tronco pulmonar con prótesis vascular como tratamiento paliativo de las situaciones de Fallot.