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The Blalock–Thomas–Taussig shunt (BTT shunt), [1] previously known as the Blalock–Taussig Shunt (BT shunt), [2] is a surgical procedure used to increase blood flow to the lungs in some forms of congenital heart disease [3] such as pulmonary atresia and tetralogy of Fallot, which are common causes of blue baby syndrome. [3]
The most common shunts are the Modified Blalock Taussig shunt (MBTS) or right ventricle- to pulmonary artery shunt (RVPA or Sano shunt). Most patients who undergo a Norwood procedure will proceed to further stages of single ventricle palliation. A second surgery, also known as the Glenn procedure, occurs at 4–6 months of age.
First operation: modified Blalock-Taussig shunt to maintain pulmonary blood flow by placing a Gore-Tex conduit between the subclavian artery and the pulmonary artery. See also Norwood procedure. Where too much flow to the lungs is present, a pulmonary band may be placed in a first operation.
The procedure was developed to treat transposition of the great vessels, eponymously known as blue baby syndrome. This is a condition in which the aorta and pulmonary artery are attached to the heart in an opposite order from what is usually present at birth, resulting in the aorta being the outflow tract for the right ventricle and the ...
The first procedure, usually either the Norwood procedure or the Blalock–Thomas–Taussig shunt, is typically done within the first few days or weeks of life. The second procedure, called the Glenn procedure , is usually performed between four and twelve months of age.
A Sano shunt is a shunt from the right ventricle to the pulmonary circulation. [1] [2] [3] In contrast to a Blalock–Taussig shunt, circulation is primarily in systole. [citation needed] It is sometimes used as the first step in a Norwood procedure. [citation needed] This procedure was pioneered by the Japanese cardiothoracic surgeon Shunji ...
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In the legs, bypass grafting is used to treat peripheral vascular disease, acute limb ischemia, aneurysms and trauma.While there are many anatomical arrangements for vascular bypass grafts in the lower extremities depending on the location of the disease, the principle is the same: to restore blood flow to an area without normal flow.