Clinical Improvement after Modified Blalock-Taussig Shunt in Cyanotic Heart Disease

변형 Blalock-Taussig수술후의 임상적 개선효과

  • 김종호 (전남의대,하남성심병원)
  • Published : 1995.11.01

Abstract

From January 1983 to December 1994, 48 cyanotic patients were underwent a subclavian artery-pulmonary artery shunt using polytetrafluoroethylene[PTFE for the purpose of improvement of reduced pulmonary blood flow. The diameters of the PTFE used were 4mm[4 cases , 5mm[36 cases , and 6mm[8 cases sizes. The effectiveness of modified Blalock-Taussig shunts was evaluated clinically and angiographically. There were 5 early deaths and 2 late deaths. There were 3 early shunt failures and 5 late shunt failures. The overall graft patency rate was 83.3%. Postoperative hemoglobin was reduced significantly[p = 0.0011 in comparison of the preoperative and postoperative hemoglobin, SaO2, PaO2, and cardiothoracic ratio.

Keywords

References

  1. JAMA v.128 The surgical Treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia Blalock,A.;Taussig,H.B.
  2. Thorax Chirurgie v.10 Anastomose zwischen System und Lungenarterie mir Hilfe von Kunststoffprothesen bei cyanotischen Herzvitien Kinner,W.;Pasini,M.;Schaudig,A.
  3. J Thorac Cardiovasc Surg v.72 Arterial Prosthesis of microporous expanded polyterafluoroethylent for construction of aoria-pulmonary shunts Gazania,A.;Lamberti,J.;Siewers,R.( et al.)
  4. J Thorac Cardiovasc Surg v.72 The Waterstion anastomosis with no deaths in the neonare Steward,S.;mahoney,E.;Manning,J.
  5. J Thorac Cardiovasc Surg v.79 Results of twostage surgical treatment of tetralogy of Fallot Arcinegas,E.;Faroodi,Z.;Hakimi,M.;Green,E.
  6. J Thorac Cardiovasc Surg v.84 Classic shunting operations for congenital cyanotic heart defect Arciniegas,E.;Farooki,Z.;Hakimi,M.;Perry,B.;Green,E.
  7. J Thorac Cardiovasc Surg v.50 The distribution of pulmonary blood flow after subclavion-pulmonary anastomosis. An xperimental stuey Fort,L. Ⅲ;Morrow,A.G.;Pierce,G.E.;Saigrasa,M.;McLaughlin,J.
  8. J Pediatr v.67 The effects of ligation of the subclavian artery on the bones and soft tissues of the arms Currarino,G.;Engle,M.A.
  9. Ann Thorac Surg v.30 Upper extremity gangrene : a complication of subclavian artery division Geiss,D.;williams,W.G.;Lindsay,W.K.;Rowe,R.D.
  10. J Thorac Cardiovasc Surg v.76 Clinical complications of postoperative unilateral phrenic nerve paralysis Mickell,J.J.;Oh,K.S.;Siewers,R.D.;Galvis,A.;Fricker,F.;Mathews,R.
  11. Trans Amer Soc Artif Intern Organs v.20 Expandel polytetrafluoroethylene as a small artery substitute Campbell,C.;Goldfarb,D.;Detton,D.;Roe,B.;Goldsmith,K.;Dietrich,E.
  12. Ann thorac Surg v.44 The Blalock-Taussig Shunt in infants : Standard versus Modified Ullom,P.l.;Sade,R.M.;Crawfrod,F.A.;Ross,B.A.;Spinale,F.
  13. Am J Surg v.146 Anastomotic aneurysms Briggs,R.M.;Jaster,B.S.;Connins,G.J.
  14. 대흉외지 v.21 청색심기형 환자에서 PTFE인 조혈관을 이용한 쇄골하-폐동맥 단락술의 이상적 적용과 그 결과 나명훈;함시영;성숙환;김용진;노준량;서경필.
  15. J Thorac Cardiovasc Surg v.81 Modified Blalck-Taussig Shunt. Use of subclavian arrery orifice as flow regulator in prosthetic systemic-pulmonary artery shunts. de Leval,M.R.;McKay,R.;Jones,M.;Stark,J.;Macartney,F.J.
  16. J Thorac Cardiovasc Surg v.89 Modified Blalock Taussig shunt in infants and young childern Karpawich,P.P.;Bush,C.P.;Antillon,J.R. ( et al.)
  17. Br Heart J v.49 Experience with the modified Blalock-Taussig operation using polytetrafluoroethylene ( Impra) grafts Kay P;Capuani A;Franks R;Lincoln C.
  18. 대흉외지 v.18 Polytetratluoroethylene을 이용한 체-폐동맥 단락술 안혁
  19. 대흉외지 v.22 변형 Blalock-Taussig 수술법이 폐동맥 성장에 미치는 영향 박승일;김용진