Systemic-to-pulmonary artery shunt using the internal mammary artery.
Systemic-to-pulmonary artery shunts may be useful for palliation of cyanotic congenital heart disease. We report the case of a 5-year-old boy in whom the internal mammary artery was used to create a systemic-to-pulmonary artery shunt after failure of a previous Blalock-Taussig shunt. This technique may have distinct advantages in selected cases and should be considered as an alternative during investigation of the older child who requires a systemic-to-pulmonary artery shunt.
Longaker
M T
MT
Department of Surgery, University of California, San Francisco 94143.
Merrick
S
S
Crombleholme
T M
TM
Langer
J C
JC
Verrier
E D
ED
Turley
K
K
D000714:Anastomosis, Surgical / Q000379:methods; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D010166:Palliative Care / Q000379:methods; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D013895:Thoracic Arteries / Q000601:surgery*