Systemic-to-pulmonary arterial shunts
These procedures are required most frequently in those with right
isomerism. Over time, descriptions have been provided of the use of the
modified Blalock-Taussig shunt, the Waterston-Cooley shunt, and the UKC
shunt.14-25,39,40 Construction of such shunts is
usually followed by repair of totally anomalous pulmonary venous
connection, with a superior cavopulmonary connection added for those
requiring emergency intervention in the setting of a functionally
univentricular heart.14-25,39-41 Alternatively, the
shunt can be performed concomitantly with rechanneling of the totally
anomalous pulmonary venous return.15,18,41 Others have
delayed the repair of obstructed totally anomalous pulmonary venous
connection by inserting a hybrid stent.22