Twenty-seven patients with pulmonary atresia and intact interventricular septum were treated with prostaglandin E1 infusion, followed by standard or modified Blalock-Taussig shunt. Three infants died. In all three there was anatomic and functional patency of the ductus arteriosus and the surgical systemic-pulmonary shunt. The unusual clinical course in these cases suggests that in the clinical management of patients with pulmonary atresia and intact interventicular septum after a shunt operation, particular attention must be paid to the problems associated with persistent ductal patency.
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine