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Eur J Cardiothorac Surg 2006;29:253-254
© 2006 Elsevier Science NL

How-to-do-it

Adjustable aorto-pulmonary shunt to prevent temporary pulmonary over-circulation

Pediatric Cardiac Surgery Unit, S.Orsola-Malpighi Hospital, Bologna Medical School, Via Massarenti 9, 40138 Bologna, Italy

Received 26 August 2005; received in revised form 7 November 2005; accepted 15 November 2005.

^_* Corresponding author. Tel.: +39 051 6363156; fax: +39 051 6363157. (Email: pax{at}med.unibo.it).

The Blalock–Taussig shunt can produce a temporary pulmonary over-circulation and can be downsized with a metallic clip. This hemodynamic situation can be reversible leading to desaturation.

We describe a very simple method to resize temporarily the shunt with a removable metallic clip.

Key Words: Hypoplastic left heart syndrome • Shunt anastomosis • Surgical • Pulmonary circulation