{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:49:51Z","timestamp":1782226191232,"version":"3.54.5"},"reference-count":8,"publisher":"Galenos Yayinevi","issue":"4","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk Gogus Kalp Dama"],"accepted":{"date-parts":[[2024,9,29]]},"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The study aimed to describe the feasibility and results of a left modified Blalock-Taussig shunt (mBTS) through a sternotomy without opening the pericardium in patients with a right-sided aortic arch.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The study included eight patients (median age: 20 months; range, 10 to 56 months) who underwent a left mBTS. All mBTS procedures were performed through a median sternotomy without the use of cardiopulmonary bypass. Following sternotomy, the brachiocephalic trunk and left pulmonary artery were carefully identified and isolated without opening the pericardium. First, an end-to-side anastomosis was created between the Gore-Tex graft and the brachiocephalic trunk. Subsequently, the distal end-to-side anastomosis was performed between the graft and the left pulmonary artery. A single drain was positioned in the retrosternal space, and the sternum was closed in the standard manner.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Six patients had tetralogy of Fallot, and two had a double-outlet right ventricle with pulmonary stenosis. The median weight was 8 kg (range, 6.1 to 12.8 kg). The procedure was feasible in all patients (Figure 1). The median shunt size was 5 mm (range, 4 to 5 mm), and the median intensive care unit stay was three days. There were no cases of early- or mid-term mortality, shunt failure, or thrombosis. Additionally, no patients developed postoperative pericardial effusion. Six out of eight patients underwent resternotomy for complete correction, with preoperative cardiac catheterization confirming shunt patency (Figure 2). Notably, no intrapericardial adhesions were observed during resternotomy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    This technique offers a significant advantage by avoiding intrapericardial adhesions, making it a viable alternative to standard sternotomy or thoracotomy approaches for mBTS in patients with a right-sided aortic arch.\n                  <\/jats:p>","DOI":"10.5606\/tgkdc.dergisi.2024.mob-03","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T08:48:54Z","timestamp":1745830134000},"page":"6-7","source":"Crossref","is-referenced-by-count":0,"title":["[M\u00d6B-03] Extra-Pericardial Modified Blalock-Taussig Shunt Via Sternotomy in Patients with A Right Aortic Arch"],"prefix":"10.4274","volume":"32","author":[{"given":"Kamran","family":"Ahmadov","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran","family":"Musayev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tornike","family":"Sologashvili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2024,12,31]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Dirks V, Pr\u00eatre R, Knirsch W, Valsangiacomo Buechel ER, Seifert B, Schweiger M, et al. Modified Blalock Taussig shunt: A not-so-simple palliative procedure. Eur J Cardiothorac Surg 2013;44:1096-102. doi: 10.1093\/ejcts\/ezt172.","DOI":"10.1093\/ejcts\/ezt172"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Odim J, Portzky M, Zurakowski D, Wernovsky G, Burke RP, Mayer JE Jr, et al. Sternotomy approach for the modified Blalock-Taussig shunt. Circulation 1995;92(9 Suppl):II256-61. doi: 10.1161\/01.cir.92.9.256.","DOI":"10.1161\/01.CIR.92.9.256"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Yuan SM, Shinfeld A, Raanani E. The Blalock-Taussig shunt. J Card Surg 2009;24:101-8. doi: 10.1111\/j.1540-8191.2008.00758.x.","DOI":"10.1111\/j.1540-8191.2008.00758.x"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Shauq A, Agarwal V, Karunaratne A, Gladman G, Pozzi M, Kaarne M, et al. Surgical approaches to the blalock shunt: Does the approach matter? Heart Lung Circ 2010;19:460-4. doi: 10.1016\/j.hlc.2010.02.025.","DOI":"10.1016\/j.hlc.2010.02.025"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Williams JA, Bansal AK, Kim BJ, Nwakanma LU, Patel ND, Seth AK, et al. Two thousand Blalock-Taussig shunts: A six-decade experience. Ann Thorac Surg 2007;84:2070-5. doi: 10.1016\/j.athoracsur.2007.06.067.","DOI":"10.1016\/j.athoracsur.2007.06.067"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Craatz S, K\u00fcnzel E, Spanel-Borowski K. Right-sided aortic arch and tetralogy of Fallot in humans--a morphological study of 10 cases. Cardiovasc Pathol 2003;12:226-32. doi: 10.1016\/s1054-8807(03)00054-1.","DOI":"10.1016\/S1054-8807(03)00054-1"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Knight L, Edwards JE. Right aortic arch. Types and associated cardiac anomalies. Circulation 1974;50:1047-51. doi: 10.1161\/01.cir.50.5.1047.","DOI":"10.1161\/01.CIR.50.5.1047"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Simsek B, Ozyuksel A, Saygi M, Demiroluk S, Basaran M. Revisiting the central aortopulmonary shunt procedure. Turk Gogus Kalp Dama 2023;31:207-14. doi: 10.5606\/tgkdc.dergisi.2023.24247.","DOI":"10.5606\/tgkdc.dergisi.2023.24247"}],"container-title":["Turkish Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3863.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3863.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:52:39Z","timestamp":1782222759000},"score":1,"resource":{"primary":{"URL":"https:\/\/tjtcvs.org\/articles\/doi\/tgkdc.dergisi.2024.mob-03"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.5606\/tgkdc.dergisi.2024.mob-03","relation":{},"ISSN":["1301-5680","2149-8156"],"issn-type":[{"value":"1301-5680","type":"print"},{"value":"2149-8156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,1]]}}}