Is sternotomy superior to thoracotomy for modified Blalock-Taussig shunt?

Interactive Cardiovascular and Thoracic Surgery
Sachin TalwarBalram Airan

Abstract

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: is sternotomy approach superior to a thoracotomy approach for a modified Blalock-Taussig shunt procedure? More than 58 papers were found using the search as described below, of which 11 papers represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Three of seven papers compared the sternotomy and thoracotomy approaches. The operative approach was a significant predictor of shunt failure. The criterion used to define early shunt failure was either the complete occlusion during hospitalization or the need to return to the operating room for a second shunt. The studies that compared the thoracotomy and sternotomy approaches observed increased shunt failure rates in the thoracotomy group. The sternotomy approach was associated with advantages like less pulmonary artery distortion, ease of technical performance, cosmetic advantage of a single sternotomy incision, ease of ligation of patent ductus, less phrenic nerve injury, less collateral formation in chest wal...Continue Reading

References

Nov 1, 1995·Circulation·J OdimR A Jonas
Jul 6, 2000·The Annals of Thoracic Surgery·A M AlkhulaifiC Planché
Mar 7, 2006·Pediatric Surgery International·Tankut Hakki AkaySait Aslamaci
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Joel DunningKevin Mackway-Jones
Aug 9, 2007·Heart, Lung & Circulation·Usman AhmadMuhammad A Javed
Nov 27, 2007·The Annals of Thoracic Surgery·Jason A WilliamsDuke E Cameron
Jul 19, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Siamak MohammadiJacques Le Blanc
May 4, 2010·Heart, Lung & Circulation·Arjamand ShauqEdmund J Ladusans
Aug 20, 2010·Asian Cardiovascular & Thoracic Annals·Pramod Reddy KandakureKona Samba Murthy
Feb 19, 2013·Journal of the American College of Surgeons·E Dean McKenzieCharles D Fraser
Mar 30, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Verena DirksHitendu Dave

❮ Previous
Next ❯

Citations

Jul 10, 2016·General Thoracic and Cardiovascular Surgery·Yoshimasa UnoTakaaki Suzuki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Interactive Cardiovascular and Thoracic Surgery
Marco ScarciHazem Fallouh
Interactive Cardiovascular and Thoracic Surgery
Joel DunningJames B Barnard
© 2021 Meta ULC. All rights reserved