Abstract
In 28 infants and children with complete transposition of the great vessels, atrial septal defects were created utilizing an open technique with inflow caval occlusion and moderate hypothermia. Of the 12 infants for whom operation was necessary during the first two weeks of life only two survived, suggesting that this technique is not adequate for infants at this age. Only four of the 16 children operated on between the ages of two weeks and three years failed to survive. Two of these died because of pre-existing non-cardiac conditions. Seven children with associated systemic-to-pulmonary shunts survived; the open technique may be preferable in this particular group. Despite the initial improvement afforded by this procedure, three sudden late deaths occurred. For this reason, and because of the danger of early development of pulmonary vascular disease, total operative correction of the malformation should be performed early.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BAFFES T. G., LEV M., PAUL M. H., MILLER R. A., RIKER W. L., DE BOER A., POTTS W. J. Surgical correction of transposition of the great vessels: a five-year survey. J Thorac Cardiovasc Surg. 1960 Sep;40:298–309. [PubMed] [Google Scholar]
- BLALOCK A., HANLON C. R. The surgical treatment of complete transposition of the aorta and the pulmonary artery. Surg Gynecol Obstet. 1950 Jan;90(1):1-15, illust. [PubMed] [Google Scholar]
- SENNING A. Surgical correction of transposition of the great vessels. Surgery. 1959 Jun;45(6):966–980. [PubMed] [Google Scholar]
- SHAHER R. M. Prognosis of transposition of the great vessels with and without atrial septal defect. Br Heart J. 1963 Mar;25:211–218. doi: 10.1136/hrt.25.2.211. [DOI] [PMC free article] [PubMed] [Google Scholar]