Sano shunt

Sano shunt
Diagram of the human heart. In the Sano shunt, circulation is diverted from the right ventricle to the pulmonary circulation.
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A Sano shunt is a shunt from the right ventricle to the pulmonary circulation.[1][2][3]

In contrast to a Blalock–Taussig shunt, circulation is primarily in systole.[citation needed]

It is sometimes used as the first step in a Norwood procedure.[citation needed]

Diagram of a Sano shunt (orange) in hypoplastic left heart syndrome after Norwood Procedure. In the Sano shunt (or Right Ventricle-to-Pulmonary Artery shunt) the blood flows from the right ventricle to the pulmonary artery.

This procedure was pioneered by the Japanese cardiothoracic surgeon Shunji Sano [ja] in 2003.[4]

References

  1. ^ Davies, Joanna H.; Hassell, Lynda L. (2007). "Stage 1 – Sano shunt". Children in Intensive Care: A Survival Guide. Elsevier Health Sciences. pp. 72–3. ISBN 978-0-443-10023-9.
  2. ^ Dähnert, Ingo; Riede, Frank-Thomas; Razek, Vit; Weidenbach, Michael; Rastan, Ardawan; Walther, Thomas; Kostelka, Martin (2007). "Catheter interventional treatment of Sano shunt obstruction in patients following modified Norwood palliation for hypoplastic left heart syndrome". Clinical Research in Cardiology. 96 (10): 719–22. doi:10.1007/s00392-007-0545-5. PMID 17609848. S2CID 10499255.
  3. ^ Sano, Shunji; Ishino, Kozo; Kawada, Masaaki; Arai, Sadahiko; Kasahara, Shingo; Asai, Tomohiro; Masuda, Zen-Ichi; Takeuchi, Mamoru; Ohtsuki, Shin-Ichi (2003). "Right ventricle–pulmonary artery shunt in first-stage palliation of hypoplastic left heart syndrome". The Journal of Thoracic and Cardiovascular Surgery. 126 (2): 504–9, discussion 509–10. doi:10.1016/s0022-5223(02)73575-7. PMID 12928651.
  4. ^ Sano, Shunji; Kasahara, Shingo (2012). "Sano Modification with a Right Ventricle-to-Pulmonary Artery Shunt". Operative Techniques in Thoracic and Cardiovascular Surgery. 17 (2): 66–80. doi:10.1053/j.optechstcvs.2012.07.001.
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Tests and procedures involving the heart
Surgery
Heart valves
and septa
production of septal defect in heart
enlargement of existing septal defect
Atrial septostomy
Balloon septostomy
creation of septal defect in heart
Blalock–Hanlon procedure
shunt from heart chamber to blood vessel
atrium to pulmonary artery
Fontan procedure
left ventricle to aorta
Rastelli procedure
right ventricle to pulmonary artery
Sano shunt
compound procedures
for transposition of the great vessels
Arterial switch operation
Mustard procedure
Senning procedure
for univentricular defect
Norwood procedure
Kawashima procedure
shunt from blood vessel to blood vessel
systemic circulation to pulmonary artery shunt
Blalock–Taussig shunt
SVC to the right PA
Glenn procedure
Cardiac vessels
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