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NEONATAL SHUNT OPERATIONS

¹ Department of Cardiovascular Surgery, Gazi University Medical Faculty, Ankara, Turkey, Tel: 90 505 319 3190, Fax: 90 312 202 9014, Email: dilekerer@yahoo.com
² Department of Cardiology, Lodz University Medical Faculty, Lodz, Poland
³ Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

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We read with interest the manuscript by Swain et al.¹ in which they present their peri- and postoperative experiences with the treatment of neonatal patients who have undergone modified Blalock-Taussig (mB-T) shunt operation. The authors have successfully managed these critical cases of the pediatric cardiac surgery.¹ However, we believe their manuscript contains certain points to be stressed on.

In very small caliber pulmonary arteries and low birth weight neonates, shunt anastomosis between subclavian artery and the branch pulmonary artery constitutes several difficulties.^1–5 Additionally the potence of these shunts on the pulmonary arterial growth is limited. Thus, . . . [Full Text of this Article]