Author + information
- Received August 29, 1983
- Revision received November 21, 1983
- Accepted November 28, 1983
- Published online May 1, 1984.
- William C. Scott, MD1,
- Hong-Xu Zhao, MD*,1,
- Margaret Allen, MD1,
- Ducksoo Kim, MD1 and
- D. Craig Miller, MD, FACC**,1
- ↵**Address for reprints: D. Craig Miller, MD, Department of Cardiovascular Surgery, Stanford University School of Medicine. Stanford, California 94305.
Many Blalock-Taussig shunts (subclavian to pulmonary artery anastomoses) have been created and a significant number are still being done. Two cases of aneurysmal degeneration of a Blalock-Taussig shunt and their management are described. Development of this rare complication may be related to large shunt flow and long duration. Large, symptomatic or enlarging aneurysms should be repaired and smaller ones studied by serial computed axial tomography. A simple and safe approach to correct this lesion is division and oversewing of the proximal subclavian artery through an anterior approach, assuming adequate pulmonary blood flow is already present or can be established concomitantly.
- Received August 29, 1983.
- Revision received November 21, 1983.
- Accepted November 28, 1983.
- American College of Cardiology Foundation