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Potts-Smith, Glenn, and Blalock-Taussig Shunts

William G. Williams, MD; Lorraine Rubis, MD; George A. Trulser, MD; William T. Mustard, MD

Arch Surg. 1975;110(11):1383-1386.

Abstract
• Aortopulmonary (Potts-Smith), subclavian-pulmonary (Blalock-Taussig), and cavopulmonary (Glenn) shunts are the commonly performed operations for palliation of tricuspid atresia. A total of 104 patients with tricuspid atresia have undergone these procedures, either alone or in combination over a 28-year-period at the Hospital for Sick Children, Toronto. Operative risk is high in the first six months of life (44%), reasonable after six months of age (7.4%), and low for reoperation (3.5%).

Long-term palliation of the 75 survivors (mean follow-up, 8.5 years) is compared for the three operative groups and charted on an actuarial table. Potts shunt offers superior long-term palliation. Therefore, as an overall plan of management, a Potts shunt with restriction of its anastomotic growth is the initial procedure of choice. When the patient outgrows the Potts shunt, a Glenn anastomosis is constructed. Ideally, the combination of these two shunts will produce a balanced circulation offering excellent long-term palliation.

(Arch Surg 110:1383-1386, 1975)

Author Affiliations
From the Cardiovascular Division of the Hospital for Sick Children, Toronto.

Footnotes
Accepted for publication June 27, 1975.

Read before the 23rd scientific meeting of the International Cardiovascular Society, Boston, June 20, 1975.

Reprint requests to 123 Edward St, Suite 1225, Toronto, Ontario, Canada (Dr Williams).

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