Re: [HSF] BT shunt – neonate

[rwmfglycar at aol.com]

Dear DrBaslaim,

Are these goretex shunts?

Bob








-----Original Message-----
From: ghassan ????? baslaim <gbaslaim at hotmail.com>
To: openheart-l at lists.hsforum.com
Sent: Sat, 26 Jan 2008 11:44 pm
Subject: RE: [HSF] BT shunt – neonate




 believe a BT shunt on CPB is a safe procedure if indicated and there is no 
eed to resist CPB for a short run. Most of the centers are performing BTs thru 
ed sternotomy since redo surgery is not a major issue. Situations are: unstable 
atient, absence of PDA/collateral or forward flow, intracardiac procedure, 
ulmonary artery reconstruction and unifocalization.

n single ventricle anomaly one tends to lean toward a smaller shunt to avoid 
he hastle of excessive flow and optimize the condition for the cavopulmonary 
onnections. Also, in late presenters with cyanotic biventricular lesions, large 
hunts may compromise a dysfunctional ventricle with volume overload. Intra-op 
sessment of Qp/Qs amy not be accurate.
ough idea (body Wt ... shunt size):
 3 kg .... 3.5
-5 kg ... 4
-10 ... 5
 10 ... 5-6
ize 3 shunt tends to clot easily

ood luck,

. Baslaim, MD
eddah, KSA
 > Date: Sat, 26 Jan 2008 08:54:42 -0800> From: jamesle2007 at yahoo.com> To: 
penHeart-L at lists.hsforum.com> CC: > Subject: [HSF] BT shunt – neonate > > > > 
hat are the situations when we may need CPB to perform BT shunt in neonates? > 
 How can we assess excessive flow from the shunt before it leads to elevation 
f serum lactate? Can ECHO assessment help? > > > > ---------------------------------> 
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