Modified Blalock-Taussig shunt: Statistical analysis of potential factors influencing shunt outcome

Kuei Ton Tsai, Chau Hsiung Chang, Pyng Jing Lin*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

39 Scopus citations

Abstract

From January 1986 to December 1991, 100 modified Blalock-Taussig Shunts (MBTS) using PTFE (polytetrafluoroethylene) grafts were performed on 86 patients with complex cyanotic congenital cardiac malformations at this hospital. The ages of patients ranged from 15 days to 22 years. Thirty-seven were operated upon in infancy and one in the neonatal period. Varying sizes of grafts were used: 3 mm in 3 cases, 4 mm in 18, 5 mm in 44, 6 mm in 34 and 8 mm in one. The mean follow-up period was 13.5 months (ranged from one to 50 months). There were one hospital mortality and one morbidity. One year shunt patency rate was 90%. Univariate analysis showed the age of the patient operated upon and graft size were risk factors for shunt patency. With an encouraging 90% early shunt patency rate, we can now adopt MBTS as an alternative without hesitancy. Yet, the surgical technique and perioperative care of those cyanotic neonates receiving this palliation still remain a challenge.

Original languageEnglish
Pages (from-to)149-152
Number of pages4
JournalJournal of Cardiovascular Surgery
Volume37
Issue number2
StatePublished - 04 1996
Externally publishedYes

Keywords

  • Blalock-Taussig shunt, modified
  • PTFE graft

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