Adjustable aorto-pulmonary shunt to prevent temporary pulmonary over-circulation.
The Blalock-Taussig shunt can produce a temporary pulmonary over-circulation and can be downsized with a metallic clip. This hemodynamic situation can be reversible leading to desaturation. We describe a very simple method to resize temporarily the shunt with a removable metallic clip.
Pace Napoleone
Carlo
C
Pediatric Cardiac Surgery Unit, S.Orsola-Malpighi Hospital, Bologna Medical School, Via Massarenti 9, 40138 Bologna, Italy. pax@med.unibo.it
Oppido
Guido
G
Angeli
Emanuela
E
Gargiulo
Gaetano
G
D001011:Aorta; D001166:Arteriovenous Shunt, Surgical; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011184:Postoperative Period; D011651:Pulmonary Artery; D011652:Pulmonary Circulation; D013525:Surgical Instruments