Central (garland) aortopulmonary shunt

The advantages of a central shunt include simultaneous growth of both the RPA and LPA, 1 minimal iatrogenic branch PA distortion, reduced incidence of PA stenosis, lower occlusion rates, and ease of closure during corrective surgery. 2 Disadvantages include risk of over-shunting with development of...

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Veröffentlicht in:Heart Asia 2015-01, Vol.7 (1), p.8-8
Hauptverfasser: Doshi, Shrenik R, Gupta, Himanshu, Ramakrishnan, S
Format: Artikel
Sprache:eng
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Zusammenfassung:The advantages of a central shunt include simultaneous growth of both the RPA and LPA, 1 minimal iatrogenic branch PA distortion, reduced incidence of PA stenosis, lower occlusion rates, and ease of closure during corrective surgery. 2 Disadvantages include risk of over-shunting with development of pulmonary arterial hypertension (PAH) and injury to the shunt during sternotomy.
ISSN:1759-1104
1759-1104
DOI:10.1136/heartasia-2014-010597