Sano shunt

Sano shunt
Sano shunt
	Diagram of the human heart. In the Sano shunt, circulation is diverted from the right ventricle to the pulmonary circulation.

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.

It is sometimes used as the first step in a Norwood procedure.

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 (b.1953) in 2003.[4]

References

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.
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.
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.
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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[DaviesHassell2007-1] 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.

[Sano-2003-3] 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.