[Systemic-to-pulmonary artery shunt using the internal thoracic artery].

Systemic-to-pulmonary artery shunts may be useful for palliation of cyanotic congenital heart disease. We report the two cases of a 2-year-girl and a 5-year-girl in whom the internal thoracic artery was used to create a systemic-to-pulmonary artery shunt. This technic may have distinct advantages in selected cases and should be considered as an alternative during investigation of the older child who requires a systemic-to-pulmonary shunt.