Melbourne Shunt Promotes Growth of Diminutive Central Pulmonary Arteries in Patients With Pulmonary Atresia, Ventricular Septal Defect, and Systemic-to-Pulmonary.

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Presentation transcript:

Melbourne Shunt Promotes Growth of Diminutive Central Pulmonary Arteries in Patients With Pulmonary Atresia, Ventricular Septal Defect, and Systemic-to-Pulmonary Collateral Arteries Muhammad A. Mumtaz, MD, Geoffrey Rosenthal, MD, PhD, Athar Qureshi, MD, Lourdes Prieto, MD, Tamar Preminger, MD, Richard Lorber, MD, Larry Latson, MD, Brian W. Duncan, MD The Annals of Thoracic Surgery Volume 85, Issue 6, Pages 2079-2084 (June 2008) DOI: 10.1016/j.athoracsur.2008.01.098 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Melbourne shunt: side-biting clamp controls the ascending aorta; soft clamps control the branch pulmonary arteries. Inset demonstrates the completed shunt with the pulmonary artery anastomosed to the posterior and left lateral aspect of the ascending aorta close to the sinotubular junction. Reprinted with the permission of The Cleveland Clinic Foundation [5]. The Annals of Thoracic Surgery 2008 85, 2079-2084DOI: (10.1016/j.athoracsur.2008.01.098) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Right pulmonary artery growth as a function of time. The Annals of Thoracic Surgery 2008 85, 2079-2084DOI: (10.1016/j.athoracsur.2008.01.098) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Left pulmonary artery growth as a function of time. The Annals of Thoracic Surgery 2008 85, 2079-2084DOI: (10.1016/j.athoracsur.2008.01.098) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Mean modified Nakata index as a function of time. The Annals of Thoracic Surgery 2008 85, 2079-2084DOI: (10.1016/j.athoracsur.2008.01.098) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Outcomes of patients with Melbourne shunt. (VSD = ventricular septal defect.) The Annals of Thoracic Surgery 2008 85, 2079-2084DOI: (10.1016/j.athoracsur.2008.01.098) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions