An alternative surgical approach for downsizing an existed modified Blalock-Taussig shunt is described as a reoperation in a hemodynamically unstable patient. This method was selected in order to minimize the surgical manipulations in the setting of a critically ill infant.
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| http://dx.doi.org/10.1002/ccr3.1944 | DOI Listing |
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Article Synopsis
- The study examined the use of right ventricular outflow tract (RVOT) stenting versus the modified Blalock-Taussig shunt (mBTS) as treatments for children with stenotic RVOTs aged 1 to 18, revealing limited literature on their comparative effectiveness.* -
- Data from 58 patients indicated that both procedures resulted in similar rates of major adverse cardiovascular events (MACE), but mBTS patients had shorter overall hospital stays, while RVOT stenting led to shorter ICU stays.* -
- Overall, RVOT stenting showed comparable results to mBTS concerning MACE and oxygen saturation levels at discharge, suggesting it could be a viable option for palliation in this patient population.*
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