Creation of an atrial septal defect in transposition of the great vessels.

Creation of an atrial septal defect in transposition of the great vessels.

Four-fifths of the infants with transposition of the great vessels die within the first year of life (Abbott, 1936). Fifty-two per cent. die within the first month and 86% are dead within six months (Keith, Neill, Viad, Rowe, and Chute, 1953). This lesion in some form occurs in 20% of necropsies on patients with congenital heart disease (Keith, Rowe, and Vlad, 1958). In Birmingham, transpositio...

[complete Transposition of the Great Vessels with Atrial Septal Defect].

Cardiac arrhythmias following the creation of an atrial septal defect in patients with transposition of the great arteries.

In 64 children with transposition of the great arteries who underwent a Blalock-Hanlon procedure , pre-and postoperative electrocardiograms were studied regarding the incidence and nature of rhythm disturbances. In another group of 19 patients with transposition of the great arteries, the atrial septal defect was created by a different surgical technique (fossa ovalis resection); this group was...

Corrected transposition of the great vessels, atrioventricular heart block, and ventricular septal defect: a clinical triad.

Transposition of the great vessels.

The vast majority of cases of transposition of the great vessels can be diagnosed in the first few weeks of life with electrocardiogram, x-ray and fluoroscope. The clinical pattern and the diagnostic features are described in detail. The degree of cyanosis, the characteristic heart shape and progressive increase in size coupled with generous hilar shadows all suggest this diagnosis. A new sugge...