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Reasons for Failure of Systemic-to-Pulmonary Artery Shunts in Neonates

Thursday, January 31, 2019

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Source Name: The Thoracic and Cardiovascular Surgeon


Keti Vitanova, Cornelius Leopold, Jelena Pabst von Ohain, Cordula Wolf, Elisabeth Beran, Rüdiger Lange, Julie Cleuziou

Vitanova and colleagues reviewed outcomes of systemic-to-pulmonary artery shunt surgery to identify potential risk factors for negative outcomes in neonates. Between 2000 and 2016, 305 shunts were implanted in 280 newborns, with a median age of 9 days old. Shunt failure occurred in 8% of patients, and shunt-related mortality was 4%. Univariate analysis determined perioperative platelet transfusion, central shunt, shunt size of 3 mm, and postoperative extra corporeal membrane oxygenation to be risk factors for shunt failure.

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