Fallot: Palliation with BT shunt

Pirooz Eghtesady, Mohammed Said Ghanamah

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Tetralogy of Fallot (TOF) is a constellation of conotruncal anomalies involving anterior malalignment of the conal septum and right ventricular outflow tract obstruction. When symptomatic in the neonatal period or early infancy, it can be treated either by complete surgical repair or by initial palliation with a systemic to pulmonary shunt, most commonly in the form of a modified Blalock-Taussig shunt. This chapter describes the details of the surgical technique used to perform a BT shunt. The procedure continues to carry a relatively high mortality rate close to 4 %. The chapter also discusses perioperative management including preoperative evaluation, decision making and important aspects of postoperative anticoagulation.

Original languageEnglish
Title of host publicationSurgery of Conotruncal Anomalies
PublisherSpringer International Publishing
Number of pages13
ISBN (Electronic)9783319230573
ISBN (Print)9783319230566
StatePublished - Jan 1 2016


  • Blalock-taussig shunt
  • Congenital heart surgery
  • Systemic to pulmonary shunt
  • Tetralogy of fallot


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