Sano shunt
Citation, DOI, disclosures and article data
At the time the article was created Vincent Tatco had no recorded disclosures.
View Vincent Tatco's current disclosuresAt the time the article was last revised Vincent Tatco had no recorded disclosures.
View Vincent Tatco's current disclosures- Sano procedure
- Sano modification procedure
- Sano modification of Norwood procedure
The Sano shunt is a palliative surgical technique sometimes used as a step in Norwood procedure for hypoplastic left heart syndrome.
The procedure involves placement of an extracardiac conduit between the right ventricle and main pulmonary artery stump. This technique prevents the reduced diastolic blood flow into the coronary arteries (coronary steal phenomenon) associated with Blalock-Taussig shunt.
History and etymology
Shunji Sano, a Japanese cardiothoracic surgeon, pioneered this procedure in 2003 1-3.
References
- 1. Sano S, Ishino K, Kawada M, Arai S, Kasahara S, Asai T, Masuda Z, Takeuchi M, Ohtsuki S. 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. Pubmed
- 2. Gaca AM, Jaggers JJ, Dudley LT, Bisset GS. Repair of congenital heart disease: a primer-part 1. Radiology. 247 (3): 617-31. doi:10.1148/radiol.2473061909 - Pubmed
- 3. Tomasian A, Malik S, Shamsa K, Krishnam MS. Congenital heart diseases: post-operative appearance on multi-detector CT-a pictorial essay. European radiology. 19 (12): 2941-9. doi:10.1007/s00330-009-1474-7 - Pubmed
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Related articles: Pathology: Vascular: Congenital heart disease
There is more than one way to present the variety of congenital heart diseases. Whichever way they are categorized, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.
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congenital heart disease
- subtypes
- normal relationship between chambers and valves
- shunting
- stenosis
- atrioventricular valves
- outflow tract
- great vessels
- venous inflow
- hypoplasia
- anomalous valves
- abnormal relationship of chambers and valves
- atrioventricular abnormality
- when associated with a univentricular heart
- atrioventricular discordance
- great vessel connection abnormality
- atrioventricular abnormality
- congenital heart disease - chest x-ray approach
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surgical repairs (mnemonic)
- arterial switch procedure
- Blalock-Taussig shunt
- double switch procedure
- Fontan procedure
- Glenn procedure
- Mustard repair
- Norwood procedure
- Pott shunt
- pulmonary artery banding
- Rastelli procedure
- Sano shunt
- Senning repair
- total repair of tetralogy of Fallot (TOF)
- unifocalisation procedure
- Waterston shunt