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Sano shunt
Diagram of Sano shunt (orange) in hypoplastic left heart syndrome after Norwood Procedure
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A Sano shunt is a shunt from the right ventricle to the pulmonary circulation.

In contrast to a Blalock–Taussig shunt, circulation is primarily in systole.

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

This procedure was pioneered by the Japanese cardiothoracic surgeon Shunji Sano [ja] in 2003.

References

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. S2CID 10499255.
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.

v t e Tests and procedures involving the heart
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Surgery	Heart valves and septa Valve repair Valvulotomy Mitral valve repair Valvuloplasty aortic mitral Valve replacement Aortic valve repair Aortic valve replacement Ross procedure Transcatheter Mitral valve replacement Transcatheter pulmonary valve replacement production of septal defect in heart enlargement of existing septal defect Atrial septostomy Balloon septostomy creation of septal defect in heart Blalock–Hanlon procedure shunt from heart chamber to blood vessel atrium to pulmonary artery Fontan procedure left ventricle to aorta Rastelli procedure right ventricle to pulmonary artery Sano shunt compound procedures for transposition of the great vessels Arterial switch operation Mustard procedure Senning procedure for univentricular defect Norwood procedure Kawashima procedure shunt from blood vessel to blood vessel systemic circulation to pulmonary artery shunt Blalock–Taussig shunt SVC to the right PA Glenn procedure Cardiac vessels CHD Angioplasty Bypass/Coronary artery bypass MIDCAB Off-pump CAB TECAB Coronary stent Bare-metal stent Drug-eluting stent Obstacle removal Endarterectomy Atherectomy Bentall procedure Valve-sparing aortic root replacement LeCompte maneuver Other Pericardium Pericardiocentesis Pericardial window Pericardiectomy Myocardium Cardiomyoplasty Dor procedure Septal myectomy Ventricular reduction Alcohol septal ablation Conduction system Maze procedure (Cox maze and minimaze) Catheter ablation Cryoablation Radiofrequency ablation Pacemaker insertion S-ICD implantation ICD implantation Cardiac resynchronization therapy Left atrial appendage occlusion Cardiotomy Heart transplantation
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