{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:45:00Z","timestamp":1791780300395,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Small Animal Practice"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe long\u2010term outcome and owner\u2010perceived quality of life in dogs with cyanotic congenital cardiac disease undergoing modified Blalock\u2013Taussig\u2013Thomas shunt procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Medical records of dogs that underwent Blalock\u2013Taussig\u2013Thomas shunt between 2009 and 2025 at a small animal referral hospital were retrospectively reviewed. Complications, long\u2010term outcomes and quality of life were assessed\n                      <jats:italic>via<\/jats:italic>\n                      clinical examination and\/or contact with owners or referring veterinarians.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen dogs were included. The predominant clinical signs were exercise intolerance, cyanosis and a heart murmur. Diagnosis included tetralogy of Fallot (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098), double outlet right ventricle (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093); tetralogy of Fallot\u2010double outlet right ventricle spectrum (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091) and tetralogy of Fallot with pulmonary atresia spectrum (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). All dogs survived surgery. Follow\u2010up was available for 12 dogs, ranging from 58 to 2094\u2009days. Eight dogs died or were euthanased for cardiac\u2010related reasons, three were alive at follow\u2010up and one dog was alive 278\u2009days after surgery at last point of contact. All dogs showed a marked postoperative clinical improvement. Shunt obstruction or partial obstruction was documented in three of 12 dogs at 265, 587 and 693\u2009days. Postoperative balloon valvuloplasty was performed in three of the 12 dogs, one died during the procedure and two dogs showed clinical improvement and extended good quality survival. Owners' perception of the procedure outcome and quality of life was described as good, with only mild adjustments needed for exercise.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Significance<\/jats:title>\n                    <jats:p>Blalock\u2013Taussig\u2013Thomas shunt is an effective palliative option for dogs with cyanotic congenital cardiac diseases associated with reduced pulmonary blood flow, providing sustained clinical improvement and quality of life. Recurrence of clinical signs could indicate shunt obstruction and warrants prompt assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jsap.70210","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:49:57Z","timestamp":1791776997000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010term outcomes following modified Blalock\u2013Taussig\u2013Thomas shunt placement in 13 dogs with cyanotic congenital heart disease"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8884-4088","authenticated-orcid":false,"given":"M.","family":"Rossanese","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Services The Royal Veterinary College  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2311-0148","authenticated-orcid":false,"given":"J.","family":"Hannabuss","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Services The Royal Veterinary College  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2133-9500","authenticated-orcid":false,"given":"D.","family":"Brockman","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Services The Royal Veterinary College  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1017\/S1047951100007150","article-title":"Results of 546 Blalock\u2010Taussig shunts performed in 478 patients","volume":"8","author":"Al Jubair K.A.","year":"1998","journal-title":"Cardiology in the Young"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1093\/ejcts\/ezw017","article-title":"Factors affecting death and progression towards next stage following modified Blalock\u2010Taussig shunt in neonates","volume":"50","author":"Alsoufi B.","year":"2016","journal-title":"European Journal of Cardio\u2010Thoracic Surgery"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1053\/j.pcsu.2021.02.002","article-title":"How and when should tetralogy of Fallot be palliated prior to complete repair?","volume":"24","author":"Barron D.J.","year":"2021","journal-title":"Seminars in Thoracic and Cardiovascular Surgery. 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