Modified Distal Dunk Technique for Right Ventricle to Pulmonary Artery Shunt in Stage 1 Palliation
Although the use of a right ventricle to pulmonary artery shunt as a source of pulmonary blood flow in stage 1 Norwood palliation is common, there is no uniform agreement on the optimal surgical technique. We present a technique for creating the distal connection aimed at minimizing procedural bleeding, promoting distal patency, and facilitating second-stage palliation.
Meyer, D., & Nguyen, K. (2019). Modified Distal Dunk Technique for Right Ventricle to Pulmonary Artery Shunt in Stage 1 Palliation. The Annals of Thoracic Surgery, 107 (6), e431-e433. https://doi.org/10.1016/j.athoracsur.2018.12.034