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The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management
Journal article   Peer reviewed

The internal mammary artery as a shunt in a noncyanotic infant with hemitruncus: surgical and anesthetic management

Vicki L. Mahan, Randy M. Stevens, Cesar I. Mesia, Roy E. Schwartz and Achintya N. Moulick
Journal of clinical anesthesia, v 32, pp 12-16
Aug 2016
PMID: 27290936

Abstract

CHD Congenital heart disease Pulmonary arteries
The internal mammary artery (IMA) has been used as a systemic-to-pulmonary artery shunt in selected patients with congenital heart disease. Growth and development of hypoplastic pulmonary arteries have been described. We discuss the surgical and anesthetic management of an infant with an atretic-thrombosed right pulmonary artery originating from the ascending aorta in whom the IMA was used to create a systemic-to-pulmonary artery shunt after failure of a previous shunt and later successful pulmonary artery reconstruction. The IMA should be considered as an alternative conduit in patients requiring a systemic-to-pulmonary artery shunt for growth of pulmonary arteries.

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Anesthesiology
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