Sano Shunt

During the initial staged repair of hypoplastic left heart syndrome (HLHS), there is a need to create pulmonary blood flow. This can be done in a number of ways, using a Blalock-Taussig shunt or a Sano shunt modification.

The Sano shunt modification is performed together with the Norwood procedure by the pediatric cardiothoracic surgeons at Norton Children’s Heart Institute, affiliated with UofL School of Medicine, during the first staged repair of HLHS. With the Sano shunt modification, a small tube is placed from the right ventricle to the pulmonary artery, creating a path for blood flow.

The board-certified and fellowship-trained pediatric cardiothoracic surgeons at Norton Children’s Heart Institute will know which shunt will provide the best outcome for your child.

Norton Children’s Heart Institute is the leading provider of pediatric heart care in Louisville and Southern Indiana.

The Society of Thoracic Surgeons has rated Norton Children’s Heart Institute’s pediatric heart care among the best in the region. Norton Children’s Heart Institute has a network of remote diagnostic and treatment services in Kentucky and Southern Indiana.

The pediatric cardiothoracic surgeons at Norton Children’s Heart Institute have the experience, skills and training to perform these operations successfully in infants with complex congenital heart disease.

Sano Shunt Benefits and Complications

Benefits of the Sano shunt include higher diastolic blood pressure (the pressure in the arteries when the heart rests between beats) and pulmonary blood flow that pulses, mimicking the natural blood flow of patient with two ventricles.

Potential complications of the Sano shunt can arise from the incision in the right ventricle, which can cause arrhythmia and right ventricle dysfunction. And similar to a BT shunt, there is risk of narrowing (stenosis) and clotting (thrombosis) of the shunt.

Infants receiving a Sano modification will be monitored closely by the Norton Children’s Heart Institute’s single ventricle program team until the second stage of their repair.

Why Choose Norton Children’s Heart Institute

No other congenital heart surgery program in Kentucky, Ohio or Southern Indiana is rated higher by the Society of Thoracic Surgeons than the Norton Children’s Heart Institute Pediatric Cardiothoracic Surgery Program.

  • Norton Children’s Hospital has been a pioneer in pediatric cardiothoracic surgery, performing Kentucky’s first pediatric heart transplant in 1986 and becoming the second site in the United States to perform an infant heart transplant.
  • Our board-certified and fellowship-trained pediatric cardiovascular surgeons are leaders in the field as clinicians and researchers.
  • More than 5,000 children a year visit Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, for advanced heart care.
  • Norton Children’s Heart Institute successfully performs more than 17,500 procedures a year.
  • The Society of Thoracic Surgeons rated Norton Children’s Heart Institute among the best in the region after studying years of our patients’ outcomes and our ability to treat a range of pediatric heart conditions, including the most severe.
  • Norton Children’s Heart Institute has satellite outpatient offices in Ashland, Bowling Green, Campbellsville, Elizabethtown, Frankfort, London, Madisonville, Murray, Owensboro, Paducah and Shepherdsville in Kentucky; as well as Corydon, Jasper, Madison and Scottsburg in Indiana; 28 tele-echocardiography locations in Kentucky and Southern Indiana; and six fetal echocardiography locations across Kentucky.
  • The American Board of Thoracic Surgery has awarded the cardiothoracic surgeons at Norton Children’s Hospital with subspecialty certification in congenital heart surgery.
  • The Jennifer Lawrence Cardiac Intensive Care Unit (CICU) is the largest dedicated CICU in Kentucky, equipped with 17 private rooms and the newest technology available for heart care.
  • Our multidisciplinary approach to pediatric heart surgery brings together our specialists in cardiothoracic surgery, cardiology, anesthesiology, cardiac critical care and other areas to create a complete care plan tailored for your child.
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Norton Children’s Heart Institute

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