TY - JOUR
T1 - The Prosthetic (Teflon) Central Aortopulmonary Shunt for Cyanotic Infants Less Than Three Weeks Old
T2 - Results and Long-Term Follow-up
AU - Lamberti, John J.
AU - Campbell, Charles
AU - Replogle, Robert L.
AU - Anagnostopoulos, Constantine
AU - Lin, Chung Yuan
AU - Chiemmongkoltip, Pipit
AU - Arcilla, Rene
PY - 1979
Y1 - 1979
N2 - The expanded microporous polytetrafluoroethylene (PTFE) 4 mm vascular prosthesis has been used to create a central aortopulmonary shunt in 20 critically ill infants less than 3 weeks old. The infants ranged from 1 to 18 days old ( (Figure presented.) days), and from 1.5 to 4.0 kg ( (Figure presented.) kg). Conduit length ranged from 2 to 6 cm ( (Figure presented.) cm). Sixteen patients had atresia of the tricuspid or pulmonary valve. There were 6 early deaths (30%), only 1 of which was shunt related. The mean preoperative arterial oxygen saturation was 62% (range, 33 to 80%), and mean postoperative saturation was 87% (range, 78 to 90%). There were 5 late deaths, 1 probably caused by shunt failure. Nine long-term survivors have done well. Follow-up ranges from 1 to 36 months ( (Figure presented.) months). Factors influencing conduit function are length, technical considerations, and pulmonary vascular resistance. Late restudy in 5 of 9 survivors confirms patency and demonstrates bidirectional pulmonary blood flow. Since PTFE shunt flow capability is fixed, the infant may require repair or a second shunt within 24 months of the initial procedure.
AB - The expanded microporous polytetrafluoroethylene (PTFE) 4 mm vascular prosthesis has been used to create a central aortopulmonary shunt in 20 critically ill infants less than 3 weeks old. The infants ranged from 1 to 18 days old ( (Figure presented.) days), and from 1.5 to 4.0 kg ( (Figure presented.) kg). Conduit length ranged from 2 to 6 cm ( (Figure presented.) cm). Sixteen patients had atresia of the tricuspid or pulmonary valve. There were 6 early deaths (30%), only 1 of which was shunt related. The mean preoperative arterial oxygen saturation was 62% (range, 33 to 80%), and mean postoperative saturation was 87% (range, 78 to 90%). There were 5 late deaths, 1 probably caused by shunt failure. Nine long-term survivors have done well. Follow-up ranges from 1 to 36 months ( (Figure presented.) months). Factors influencing conduit function are length, technical considerations, and pulmonary vascular resistance. Late restudy in 5 of 9 survivors confirms patency and demonstrates bidirectional pulmonary blood flow. Since PTFE shunt flow capability is fixed, the infant may require repair or a second shunt within 24 months of the initial procedure.
UR - http://www.scopus.com/inward/record.url?scp=0018653432&partnerID=8YFLogxK
U2 - 10.1016/S0003-4975(10)63179-7
DO - 10.1016/S0003-4975(10)63179-7
M3 - Article
C2 - 518185
AN - SCOPUS:0018653432
SN - 0003-4975
VL - 28
SP - 568
EP - 577
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 6
ER -