The use of a modified blelock taussig anastomosis in the surgical treatment of complex congenital heart defects with univentricular hemodynamics and depleted pulmonary blood flow
https://doi.org/10.52888/0514-2515-2023-356-1-19-23
Abstract
Aim. To study the five-year experience of using a modified subclavian-pulmonary anastomosis according to BlelokTaussig in the surgical treatment of complex congenital heart disease in patients with univentricular hemodynamics and depleted pulmonary blood flow.
Material and methods. From 2012 to 2020, 32 children with complex CHD, with duct-dependent blood flow, underwent operations to impose a modified subclavian-pulmonary Blelock-Taussig anastomosis (MBTA). The average age of the children was 13±6.7 months, and the average weight was 8.8± 5.2 kg.
Results and discussion. Fatal outcome in the early postoperative period was observed in 3.13% of cases. Bleeding in the early postoperative period was observed in 6.25% of patients. In 28.1% of patients with Fallo’s tetrada thereafter radical correction of the defect was performed. Bidirectional cavopulmonary anastomosis was performed in 40.6% of patients with a single ventricle. Postoperative follow-up results were studied in 96.8% of patients.
Conclusion. The use of a modified left subclavian-pulmonary anastomosis according to Blalock-Taussig is the optimal palliative procedure in children with depleted pulmonary blood flow. This surgery is performed to prepare the patient for subsequent correction of a complex heart defect and allows the right pulmonary artery to be preserved intact for future use during radical or hemodynamic correction of the defect.
About the Authors
J. A. Davlatov
Republican Scientific Center for Cardiovascular Surgery, Ministry of Health and Social Protection of the Republic of Tajikistan
Tajikistan
Tajikistan
Davlatov Jamshed Abdulkhakovich - MD cardiovascular surgeon, applicant for the degree of candidate of medical sciences of the department of congenital and acquired heart defects
734003, Dushanbe, Sanoi street, 33
Tel: +992988011186
B. U. Abduvokhidov
Republican Scientific Center for Cardiovascular Surgery, Ministry of Health and Social Protection of the Republic of Tajikistan; The Department of Surgical Diseases #2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
Tajikistan
Tajikistan
H. F. Yuldoshev
Republican Scientific Center for Cardiovascular Surgery, Ministry of Health and Social Protection of the Republic of Tajikistan
Tajikistan
Tajikistan
U. T. Toshpulotov
Republican Scientific Center for Cardiovascular Surgery, Ministry of Health and Social Protection of the Republic of Tajikistan
Tajikistan
Tajikistan
S. I. Jobirov
Republican Scientific Center for Cardiovascular Surgery, Ministry of Health and Social Protection of the Republic of Tajikistan
Tajikistan
Tajikistan
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Review
For citations:
Davlatov J.A., Abduvokhidov B.U., Yuldoshev H.F., Toshpulotov U.T., Jobirov S.I. The use of a modified blelock taussig anastomosis in the surgical treatment of complex congenital heart defects with univentricular hemodynamics and depleted pulmonary blood flow. Health care of Tajikistan. 2023;(1):19-23. (In Russ.) https://doi.org/10.52888/0514-2515-2023-356-1-19-23
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