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Systemic to pulmonary shunting in 93 cyanotic neonates
Joint Authors
Kalis, Neale Nicola
al-Tarif, Habib Ibrahim
al-Amir, Suad Rashid
Source
Issue
Vol. 40, Issue 1 (31 Mar. 2018), pp.14-17, 4 p.
Publisher
King Hamad University Hospital
Publication Date
2018-03-31
Country of Publication
Bahrain
No. of Pages
4
Main Subjects
Abstract EN
Background: Systemic to pulmonary shunting is still the main palliation option in many neonates with cyanotic heart disease.
Design: A Retrospective Study.
Setting: The Mohammed bin Khalifa bin Salman Al-Khalifa Cardiac Center, Bahrain Defence Force Hospital, Bahrain.
Method: All infants from January 1995 to December 2008 who had undergone systemic to pulmonary shunting procedures were included in the study.
Result: Ninety-three infants underwent 108 shunt type procedures, 39 females and 54 males.
One hundred five Modified Blalock-Taussig Shunts (MBTS) and three classic Blalock-Taussig shunts were performed.
Tetralogy of Fallot/Double Outlet Right Ventricle (DORV) with right ventricular outflow tract obstruction was the most common diagnosis, 51 (55%).
Early postoperative mortality was 1 (1%).
Late postoperative mortality was 4 (4%); sepsis was the major cause.
Early (<1 month postoperatively) shunt failure/occlusion occurred in 6 (6%) patients.
Under 14 days of age at the time of shunting and shunt size of 5mm (18% versus 4.6%) were risk factors for early shunt occlusion/failure.
Eight (8%) patients required late shunt revision at two months to 5 years post initial shunting.
Fifty-one patients had undergone final corrective surgery.
Conclusion: MBTS shunting provides effective and safe palliation in small infants with complex cyanotic heart disease.
Early shunting (<14 days of age), and 5mm shunt size are additional risk factors for early shunt failure.
American Psychological Association (APA)
Kalis, Neale Nicola& al-Tarif, Habib Ibrahim& al-Amir, Suad Rashid. 2018. Systemic to pulmonary shunting in 93 cyanotic neonates. Bahrain Medical Bulletin،Vol. 40, no. 1, pp.14-17.
https://search.emarefa.net/detail/BIM-834869
Modern Language Association (MLA)
Kalis, Neale Nicola…[et al.]. Systemic to pulmonary shunting in 93 cyanotic neonates. Bahrain Medical Bulletin Vol. 40, no. 1 (Mar. 2018), pp.14-17.
https://search.emarefa.net/detail/BIM-834869
American Medical Association (AMA)
Kalis, Neale Nicola& al-Tarif, Habib Ibrahim& al-Amir, Suad Rashid. Systemic to pulmonary shunting in 93 cyanotic neonates. Bahrain Medical Bulletin. 2018. Vol. 40, no. 1, pp.14-17.
https://search.emarefa.net/detail/BIM-834869
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 17
Record ID
BIM-834869