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Central (garland) aortopulmonary shunt
  1. Shrenik R Doshi,
  2. Himanshu Gupta,
  3. S Ramakrishnan
  1. Department of Cardiology, All India institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr S Ramakrishnan, Department of Cardiology, All India institute of Medical Sciences, New Delhi 110029, India; ramaaiims{at}gmail.com

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A 24-year-old woman, with unoperated tetralogy of Fallot, presented with refractory cyanosis and was listed for emergency palliative shunt surgery. Preoperative cardiac catheterisation or CT angiography could not be performed. The size of the pulmonary artery (PA) appeared borderline on echocardiographic assessment. A central shunt, connecting the ascending aorta to the main PA, was created using a 6 mm polytetrafluoroethylene (PTFE) prosthesis. The central shunt was chosen …

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