Miyamoto K, Zavanella C, Lewin A N, Subramanian S
Ann Thorac Surg. 1979 May;27(5):413-7. doi: 10.1016/s0003-4975(10)63337-1.
Ten patients underwent an aortapulmonary artery shunt with a polytetrafluoroethylene (PTFE) tube between December, 1976, and October, 1977. Five of them were less than 1 month old. The diameter of the PTFE tube was 5 mm in 9 patients and 4 mm in 1 patient. Seven patients survived the operation. One of them had a clotted shunt, which was reoperated on successfully. Three patients died in the postoperative period, and all had a patent shunt. Overall patency was 90% (9/10). Congestive heart failure refractory to medical treatment developed in 1 patient with a patent Blalock-Taussig and PTFE shunt. In our institution, the Blalock-Taussig shunt is the procedure of choice. The PTFE shunt is used when the anatomy of a patient is unsuitable for a Blalock-Taussig shunt. A tube diameter of 5 mm is optimal for infants when further growth is considered, even if digitalization is necessary to control congestive heart failure.
1976年12月至1977年10月期间，10例患者接受了使用聚四氟乙烯（PTFE）管的主肺动脉分流术。其中5例年龄小于1个月。9例患者的PTFE管直径为5毫米，1例患者的为4毫米。7例患者术后存活。其中1例分流管血栓形成，再次手术成功。3例患者术后死亡，且分流管均通畅。总体通畅率为90%（9/10）。1例具有通畅的Blalock-Taussig分流和PTFE分流的患者出现了药物治疗无效的充血性心力衰竭。在我们机构，Blalock-Taussig分流术是首选术式。当患者解剖结构不适合Blalock-Taussig分流时，使用PTFE分流。考虑到进一步生长，5毫米的管直径对婴儿是最佳的，即使控制充血性心力衰竭需要洋地黄化。
