Side-to-Side Aorto–Gore-Tex Central Shunt
Background. This report details our experience in 13 patients with a technical modification of the standard central shunt. Methods. The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created...
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| Veröffentlicht in: | The Annals of thoracic surgery 1998-02, Vol.65 (2), p.515-516 |
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| container_title | The Annals of thoracic surgery |
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| creator | Gates, Richard N Laks, Hillel Johnson, Keith |
| description | Background. This report details our experience in 13 patients with a technical modification of the standard central shunt.
Methods. The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created in a side-to-side fashion with the free end of the Gore-Tex shunt being oversewn.
Results. All patients had echocardiographic evidence of shunt patency in the immediate postoperative period, and there have been no cases of late shunt occlusion at a mean follow-up period of 10 months.
Conclusions. We believe this approach will yield patency rates equivalent to or better than those of the standard central shunt. The technique has the advantage of creating a short, straight-lying shunt that is less likely to kink or be injured on repeated sternotomy and in which flow may be more reliable. |
| doi_str_mv | 10.1016/S0003-4975(97)01126-0 |
| format | Article |
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Methods. The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created in a side-to-side fashion with the free end of the Gore-Tex shunt being oversewn.
Results. All patients had echocardiographic evidence of shunt patency in the immediate postoperative period, and there have been no cases of late shunt occlusion at a mean follow-up period of 10 months.
Conclusions. We believe this approach will yield patency rates equivalent to or better than those of the standard central shunt. The technique has the advantage of creating a short, straight-lying shunt that is less likely to kink or be injured on repeated sternotomy and in which flow may be more reliable.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(97)01126-0</identifier><identifier>PMID: 9485256</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aorta - surgery ; Biological and medical sciences ; Blood Vessel Prosthesis Implantation - methods ; Child, Preschool ; Female ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Infant, Newborn ; Male ; Medical sciences ; Polytetrafluoroethylene ; Pulmonary Artery - surgery ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart</subject><ispartof>The Annals of thoracic surgery, 1998-02, Vol.65 (2), p.515-516</ispartof><rights>1998 The Society of Thoracic Surgeons</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c523t-e34b9eac96462354898889da8012aa01d52486fdf6d9d1bc312fc2ac411a8f423</citedby><cites>FETCH-LOGICAL-c523t-e34b9eac96462354898889da8012aa01d52486fdf6d9d1bc312fc2ac411a8f423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-4975(97)01126-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2172103$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9485256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gates, Richard N</creatorcontrib><creatorcontrib>Laks, Hillel</creatorcontrib><creatorcontrib>Johnson, Keith</creatorcontrib><title>Side-to-Side Aorto–Gore-Tex Central Shunt</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. This report details our experience in 13 patients with a technical modification of the standard central shunt.
Methods. The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created in a side-to-side fashion with the free end of the Gore-Tex shunt being oversewn.
Results. All patients had echocardiographic evidence of shunt patency in the immediate postoperative period, and there have been no cases of late shunt occlusion at a mean follow-up period of 10 months.
Conclusions. We believe this approach will yield patency rates equivalent to or better than those of the standard central shunt. The technique has the advantage of creating a short, straight-lying shunt that is less likely to kink or be injured on repeated sternotomy and in which flow may be more reliable.</description><subject>Aorta - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Polytetrafluoroethylene</subject><subject>Pulmonary Artery - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1KAzEURoMotVYfodCFiCLRJJNkJispRatQcNG6DmlyByPTmZrMiO58B9_QJ3HaDt26uly-c384CA0puaGEyts5ISTBXKXiUqVXhFImMTlAfSoEw5IJdYj6e-QYncT41rasjXuop3gmmJB9dD33DnBd4U0djatQV7_fP9MqAF7A52gCZR1MMZq_NmV9io5yU0Q46-oAvTzcLyaPePY8fZqMZ9gKltQYEr5UYKySXLJE8ExlWaacyQhlxhDqBOOZzF0unXJ0aRPKcsuM5ZSaLOcsGaCL3d51qN4biLVe-WihKEwJVRN1qlIiuBItKHagDVWMAXK9Dn5lwpemRG8k6a0kvTGgVaq3kjRp54bdgWa5Aref6qy0-XmXm2hNkQdTWh_3GKMpoyRpsbsdBq2MDw9BR-uhtOB8AFtrV_l_HvkDDTqBjg</recordid><startdate>19980201</startdate><enddate>19980201</enddate><creator>Gates, Richard N</creator><creator>Laks, Hillel</creator><creator>Johnson, Keith</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980201</creationdate><title>Side-to-Side Aorto–Gore-Tex Central Shunt</title><author>Gates, Richard N ; Laks, Hillel ; Johnson, Keith</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-e34b9eac96462354898889da8012aa01d52486fdf6d9d1bc312fc2ac411a8f423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aorta - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Polytetrafluoroethylene</topic><topic>Pulmonary Artery - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gates, Richard N</creatorcontrib><creatorcontrib>Laks, Hillel</creatorcontrib><creatorcontrib>Johnson, Keith</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gates, Richard N</au><au>Laks, Hillel</au><au>Johnson, Keith</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Side-to-Side Aorto–Gore-Tex Central Shunt</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1998-02-01</date><risdate>1998</risdate><volume>65</volume><issue>2</issue><spage>515</spage><epage>516</epage><pages>515-516</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. This report details our experience in 13 patients with a technical modification of the standard central shunt.
Methods. The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created in a side-to-side fashion with the free end of the Gore-Tex shunt being oversewn.
Results. All patients had echocardiographic evidence of shunt patency in the immediate postoperative period, and there have been no cases of late shunt occlusion at a mean follow-up period of 10 months.
Conclusions. We believe this approach will yield patency rates equivalent to or better than those of the standard central shunt. The technique has the advantage of creating a short, straight-lying shunt that is less likely to kink or be injured on repeated sternotomy and in which flow may be more reliable.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9485256</pmid><doi>10.1016/S0003-4975(97)01126-0</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aorta - surgery Biological and medical sciences Blood Vessel Prosthesis Implantation - methods Child, Preschool Female Heart Defects, Congenital - surgery Humans Infant Infant, Newborn Male Medical sciences Polytetrafluoroethylene Pulmonary Artery - surgery Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart |
| title | Side-to-Side Aorto–Gore-Tex Central Shunt |
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