Ascending Aorta-Right Pulmonary Artery Anastomosis

Author:

WALDHAUSEN J. A.1,FRIEDMAN S.1,TYERS G. F. O.1,RASHKIND W. J.1,PETRY E.1,MILLER W. W.1

Affiliation:

1. From the Departments of Surgery and Pediatrics, University of Pennsylvania School of Medicine, The Children's Hospital of Philadelphia, Pennsylvania, and Indiana University Medical Center, Indianapolis, Indiana.

Abstract

The results of ascending aorta-right pulmonary artery anastomosis in 35 patients are reported. The patients ranged in age from 18 hours to 12 years; 16 were less than 12 months old. Seventeen had tetralogy of Fallot, six had pulmonary atresia and a ventricular septal defect, and eight had tricuspid atresia with hypoplasia of the right ventricle. In six infants under 4 months of age with tricuspid atresia, an atrial septal defect was made by the balloon catheter technique prior to the shunt operation. Four patients initially required digitalis for left heart failure. Three patients died in the postoperative period. The remaining 32 patients have been followed up to 3 years and have done well and maintained adequate shunts.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference9 articles.

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4. Discussion of Fort, L., III, Morrow, A. G., Pierce, G. E., Saigusa, M., and McLaughlin, J. S.: Distribution of pulmonary blood flow after subelavian-pulmonary anastomosis: Experimental study;COOLEY D. A.;J Thorac Cardiov Surg,1965

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