Re: [HSF] BT shunt – neonate

[Prasanna Simha M]

Low dose Aspirin unless there is a contraindication or else (now) Plavix.
You have to keep an Eye on potential Reyes syndrome in children.
Prasanna

On Jan 27, 2008 6:39 PM, Michael Firstenberg <msfirst at gmail.com> wrote:

> Do you put them all on asa or plavix?
>
> Michael Firstenberg <msfirst at gmail.com>
>
> -----Original Message-----
> From: "Prasanna Simha M" <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: 1/27/2008 7:12 AM
> Subject: Re: [HSF] BT shunt – neonate
>
> Goretex is the prosthetic graft of choice in BT shunts.
> Prasanna
>
> On Jan 27, 2008 5:29 PM, <rwmfglycar at aol.com> wrote:
>
> >
> > 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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> --
> Prasanna Simha M
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-- 
Prasanna Simha M