Shunt Operations                                                                                  Click to print page

Blalock Taussig Shunt

Blalock and Taussig developed their pioneering operation for blue children in 1945 and it has continued to be a very successful operation to this day. Originally the artery to the arm (sublcavian) was stitched directly to the pulmonary artery and this allowed extra blood from the aorta (body artery) to pass into the lungs and receive oxygen. This is called a classical BT shunt (CBTS).

Shunt Diagram

The blood supply to the arm is reduced and this caused some children problems and so a later development was the modified BT shunt (MBTS) when a tube made of Gore-Tex is stitched between the arm and lung arteries.

This operation may be performed alone or in combination with another eg the Norwood Operation.

Cavo-Pulmonary Shunt

This operation was undertaken in the 1940's by a surgeon called Glenn. It is used to treat blue babies. The superior vena cava draining blood from the head and the upper part of the body was stitched directly to the lung artery increasing the amount of blood flow to the lungs.

It later underwent a modification and now has three names - cavo-pulmonary shunt, bi-directional Glenn shunt or a Kawashima operation. All mean the same thing and improve the blood flowing to the lungs thereby making the patient pinker.

 

This page was last edited 17/2/2004


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