Table 2.
Most important types of systemic to pulmonary artery shunts and definitive repairs
| Blalock-Taussig shunt | Subclavian artery directly anastomosed to pulmonary artery (right or left) |
| Modified Blalock-Taussig shunt | Conduit of synthetic material between subclavian artery and pulmonary artery |
| Mee procedure | Ascending aorta to main pulmonary artery |
| Waterston shunt | Ascending aorta to right pulmonary artery |
| Potts shunt | Descending aorta to left pulmonary artery |
| Standard ToF repair | Closure of the VSD and relief of the pulmonary/RVOT stenosis |
| Variants of ToF repair | Right atrial approach versus right ventriculotomy preserving PV versus transannular patch |
| Rastelli procedure | A Gore-Tex patch tunneling the lef ventricle to the aorta, closing the VSD. The pulmonary valve is surgically closed and an artificial conduit and valve from the right ventricle to the pulmonary bifurcation |
| Atrial switch procedures (Mustard or Senning) | A two-way baffle in the atria connects the SVC and IVC to the left ventricle and the PV to the right ventricle. In a Senning procedure, the baffle is made with pericardium of the pt.; in the Mustard procedure, a synthetic material is used |
| Arterial switch (Jatene operation) | The left and right coronary arteries are removed from the Ao and re-anastomosed to the adjacent pulmonary artery, which was to become the neo-aorta, and by transecting and transposing the aorta and main pulmonary artery |
| Da Silva | Extensive leaflet mobilization, longitudinal plication of the atrialized ventricle, and cone-shaped reconstruction of the tricuspid valve, allowing for leaflet-to-leaflet co-aptation. |
| Glenn | The SVC is connected to the right pulmonary artery |
| Fontan | Direct atriopulmonary connection (right atrial appendage to pulmonary trunk which has been detached from the pulmonary valve) |
| Fontan modified | The IVC is disconnected from the heart and inserted into the pulmonary artery. A conduit can be interposed between the IVC and the PA and can be fenestered. The right ventricle become the systemic ventricle connected the Ao. The SVC is connected to the PA |