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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 Mustard procedure was largely replaced in the late 1980s by the Jatene procedure (arterial switch), in which the native arteries were switched back to normal flow, so that the RV (right ventricle) would be connected to the pulmonary artery and the LV (left ventricle) would be connected to the aorta.
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MBTS shunt provides connection from the pulmonary artery to brachiocephalic artery or subclavian artery, while the RVPA conduit provides connection from right ventricle to pulmonary artery. [21] [5] Blalock-Taussig Shunt, a Gore-Tex conduit (a kind of plastic tubing) is used to connect the subclavian artery to the pulmonary artery. In this case ...
It was actually Helen Taussig who convinced Alfred Blalock that the shunt was going to work. 15-month-old Eileen Saxon was the first person to receive a Blalock–Thomas–Taussig shunt. [63] Furthermore, the Blalock-Thomas-Taussig procedure, initially the only surgical treatment available for tetralogy of Fallot, was palliative but not curative.
Eileen Saxon, sometimes referred to as "The Blue Baby", was the first patient that received the operation now known as Blalock–Thomas–Taussig shunt.. She had a condition called Tetralogy of Fallot, one of the primary congenital defects that lead to blue baby syndrome.
While working together at Hopkins, Blalock and Thomas developed a shunt technique to bypass coarctation of the aorta. Simultaneously, Helen Taussig , a cardiologist, presented to Blalock the problem of the blue baby syndrome - a congenital heart defect known as Tetralogy of Fallot which results in inadequate oxygenation of the blood.
Inferior rib notching can be associated with aortic coarctation (as a result of dilatation of intercostal arteries [1]), superior vena caval obstruction, arteriovenous fistula, or following a Blalock Taussig shunt. Causes of inferior rib notching by etiology: