Ascending aorta-right pulmonary artery shunt in infants and older patients with certain types of cyanotic congenital heart disease.

نویسندگان

  • W F Bernhard
  • J E Jones
  • D Z Friedberg
  • S B Litwin
چکیده

or atresia. Seventy-one per cent of the infant group and 90% of patients over 1 year of age were long-term survivors (up to 6 years). Tetralogy of Fallot was the most commonly encountered anomaly in all 141 patients (66%); transposition of the great vessels and pulmonary stenosis occurred in 18%; and tricuspid atresia with pulmonary stenosis in 10%. The presence of an excessively large shunt anastomosis (55% of deaths) and additional (unrecognized) other anomalies (26%) were major causes of postoperative deaths. In patients in whom a systemic-pulmonary artery anastomosis is required, this operation is the procedure of choice in infants under 1 year of age. It is also of value in older patients if a Blalock-Taussig shunt cannot be performed.

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عنوان ژورنال:
  • Circulation

دوره 43 4  شماره 

صفحات  -

تاریخ انتشار 1971