Longaker M T, Merrick S, Crombleholme T M, Langer J C, Verrier E D, Turley K
Department of Surgery, University of California, San Francisco 94143.
Ann Thorac Surg. 1989 Mar;47(3):464-5. doi: 10.1016/0003-4975(89)90398-6.
Systemic-to-pulmonary artery shunts may be useful for palliation of cyanotic congenital heart disease. We report the case of a 5-year-old boy in whom the internal mammary artery was used to create a systemic-to-pulmonary artery shunt after failure of a previous Blalock-Taussig shunt. This technique may have distinct advantages in selected cases and should be considered as an alternative during investigation of the older child who requires a systemic-to-pulmonary artery shunt.