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TABLE Surgical procedures for congenital heart disease

Name Procedure Objective Mechanism

Blalock-Hanlon septectomy Surgical removal of atrial septum Palliative Increases mixing of blood for TGA

Blalock-Taussig shunt Subclavian artery to pulmonary Palliative Increases pulmonic flow

artery anastomosis

Brock Closed pulmonary valvotomy Palliative Increases pulmonic flow

and infundibulectomyModified Fontan Anastomosis of SVC to PA Partial correction Increases pulmonic flow (for

Non valved Conduit between the univentricular morphology

IVC and PA or tricuspid atresia)

Glenn Superior vena cava to pulmonary Palliative Increases pulmonic flow

artery anastomosis

Arterial switch Aorta and pulmonary artery moved Corrective Creates normal relationship

to the proper ventricle (for TGA); between ventricles and great

coronaries are reimplanted arteries

Mustard Atrial switch intraatrial baffle Corrective Re-establishes proper flow

made of pericardium sequence to pulomonary artery

and aorta for TGA

PDA ligation Ties of patent ductus arteriosus Corrective Closes a left-to right shunt at the

(usually with silk suture) ductal level

Potts (aka Potts-Smith Shunt) Descending aorta to pulmonary Palliative Increases pulmonic flow

artery shunt

PA band Constrictive band around the main Palliative Decreases pulmonary flow

pulmonary artery

Rashkind Atrial septostomy with balloon Palliative Increases mixing of blood for TGA

catheter or truncus

Rastell i Valved conduit from right ventricle Corrective Increases pulmonic flow and

to pulmonary artery and VSD closure reestablishes proper flow

closure sequence of Ao / PA

Senning Atrial switch with intraatrial baffle Corrective Re-establishes flow sequence to

(uses atrial wall flaps) pulmonary artery and aorta

for TGV

Waterston shunt Ascending aorta to right pulmonary Palliative Increases pulmonic flow

artery

TGA, Transposition of great arteries; PDA, patent ductus arteriosus; aka , also known as; PA, pulmonary artery; VSD, ventricular septal defect; AoPA,

aortic- pulmonary communication.

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