TY - JOUR
T1 - Transposition of the great vessels. Recent experience with the Blalock-Hanlon procedure
AU - Starr, Albert
AU - Campbell, Timothy J.
AU - Wood, James
AU - McCord, Colin
AU - Herr, Rodney
AU - Menashe, Victor
N1 - Funding Information:
From tbe Department of Surgery, University of Oregon Medical School, Portland, Oregon. Tbis study was supported by program Project Grant (HE 06336-03o)f tbe U. S. Public Healtb Service.
PY - 1964/8
Y1 - 1964/8
N2 - An experience with twenty-one patients undergoing emergency palliative surgery for transposition of the great vessels with pulmonary overcirculation is presented. Banding of the pulmonary artery was performed as the only operative procedure in three patients and as the initial operative procedure in six patients. All but one failed to survive operation. The creation of an atrial septal defect by the Blalock-Hanlon operation was performed as the only operative procedure in fourteen patients with four deaths and a satisfactory late clinical result in all survivors. Thus, while the over-all results of palliative surgery for transposition are far from satisfactory, those patients suffering predominantly from severe cyanosis may expect a good result from a Blalock-Hanlon operation in terms of exercise tolerance, growth and development and the ease of subsequent medical management. Those patients suffering predominantly from associated cardiac defects with massive pulmonary overcirculation and only minimal cyanosis are poor candidates for palliative surgery and must be considered for total correction if survival is to be obtained.
AB - An experience with twenty-one patients undergoing emergency palliative surgery for transposition of the great vessels with pulmonary overcirculation is presented. Banding of the pulmonary artery was performed as the only operative procedure in three patients and as the initial operative procedure in six patients. All but one failed to survive operation. The creation of an atrial septal defect by the Blalock-Hanlon operation was performed as the only operative procedure in fourteen patients with four deaths and a satisfactory late clinical result in all survivors. Thus, while the over-all results of palliative surgery for transposition are far from satisfactory, those patients suffering predominantly from severe cyanosis may expect a good result from a Blalock-Hanlon operation in terms of exercise tolerance, growth and development and the ease of subsequent medical management. Those patients suffering predominantly from associated cardiac defects with massive pulmonary overcirculation and only minimal cyanosis are poor candidates for palliative surgery and must be considered for total correction if survival is to be obtained.
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U2 - 10.1016/0002-9610(64)90010-8
DO - 10.1016/0002-9610(64)90010-8
M3 - Article
C2 - 14195213
AN - SCOPUS:50549220258
SN - 0002-9610
VL - 108
SP - 198
EP - 203
JO - The American Journal of Surgery
JF - The American Journal of Surgery
IS - 2
ER -