What was the primary goal of the Blalock-Taussig (BT) shunt performed as an initial palliative approach for TOF patients?
Answer
To temporarily increase blood flow to the lungs to sustain the child.
The Blalock-Taussig (BT) shunt represented an early surgical intervention in the mid-20th century, aimed at palliation rather than complete repair. This procedure involved creating an artificial connection between a major artery originating from the body (systemic circulation) and the pulmonary artery. The fundamental purpose was to divert more blood flow toward the lungs, ensuring that a greater volume of blood could become oxygenated, thereby sustaining the infant and helping them gain enough strength to survive until they were robust enough for a definitive, full surgical correction.

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