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. 1975 Dec;30(6):650–656. doi: 10.1136/thx.30.6.650

Adult cyanotic congenital heart disease.

S Prusty, D N Ross
PMCID: PMC470341  PMID: 1221552

Abstract

The surgical treatment of cyanotic heart disease in the adult poses some technical difficulties in correcting severe anatomical deformities and compromised physiological states over a wide range of conditions. Various abnormalities and their surgical management have been reviewed. Forty-six patients over the age of 18 years have been operated with 10 operative deaths. Of the survivors, 63% have had excellent clinical result; 69.5% of the total group had an excellent or good result following surgery. It is concluded that the age of the patient is not a bar to the complete repair of these deformities, and all cases of adult cyanotic heart disease should be investigated with a view to surgical correction.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Asano K., Eguchi S. A new method of right ventricular outflow reconstruction in corrective surgery for tetralogy of Fallot. The application of the valve-retaining pulmonary artery graft as a patch. J Thorac Cardiovasc Surg. 1970 Apr;59(4):512–517. [PubMed] [Google Scholar]
  2. Bender H. W., Jr, Haller J. A., Jr, Brawley R. K., Humphries J. O., Neill C. A., Gott V. L. Experience in repair of tetralogy of Fallot malformation in adults. Ann Thorac Surg. 1971 Jun;11(6):508–516. doi: 10.1016/s0003-4975(10)65065-5. [DOI] [PubMed] [Google Scholar]
  3. Cooley D. A., Hallman G. L., Hammam A. S. Congenital cardiovascular anomalies in adults. Results of surgical treatment in 167 patients over age 35. Am J Cardiol. 1966 Mar;17(3):303–309. doi: 10.1016/0002-9149(66)90212-8. [DOI] [PubMed] [Google Scholar]
  4. Edie R. N., Ellis K., Gersony W. M., Krongrad E., Bowman F. O., Jr, Malm J. R. Surgical repair of single ventricle. J Thorac Cardiovasc Surg. 1973 Sep;66(3):350–360. [PubMed] [Google Scholar]
  5. Eguchi S., Asano K. Homograft of pulmonary artery or ascending aorta with valve as a right ventricular outflow. J Thorac Cardiovasc Surg. 1968 Sep;56(3):413–420. [PubMed] [Google Scholar]
  6. FISHER J. M., WILSON W. R., THEILEN E. O. Recognition of congenital heart disease in the fifth to eight decades of life. Diagnostic criteria and natural history. Circulation. 1962 May;25:821–826. doi: 10.1161/01.cir.25.5.821. [DOI] [PubMed] [Google Scholar]
  7. Fontan F., Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971 May;26(3):240–248. doi: 10.1136/thx.26.3.240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Higgins C. B., Mulder D. G. Tetralogy of Fallot in the adult. Am J Cardiol. 1972 Jun;29(6):837–846. doi: 10.1016/0002-9149(72)90504-8. [DOI] [PubMed] [Google Scholar]
  9. Kaplan S., Helmsworth J. A., McKinivan C. E., Benzing G., 3rd, Schwartz D. C., Schreiber J. T. The fate of reconstruction of the right ventricular outflow tract. J Thorac Cardiovasc Surg. 1973 Sep;66(3):361–374. [PubMed] [Google Scholar]
  10. Kirklin J. W., Wallace R. B., McGoon D. C., DuShane J. W. Early and late results after intracardiac repair of Tetralogy of Fallot. 5-Year review of 337 patients. Ann Surg. 1965 Oct;162(4):578–589. doi: 10.1097/00000658-196510000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kitamura S., Johnson J. L., Redington J. V., Mendez A., Zubiate P., Kay J. H. Surgery for Ebstein's anomaly. Ann Thorac Surg. 1971 Apr;11(4):320–330. doi: 10.1016/s0003-4975(10)65456-2. [DOI] [PubMed] [Google Scholar]
  12. LEEDS S. E. The tetralogy of Fallot in older persons up to the fifth decade. Am J Surg. 1958 Aug;96(2):234–245. doi: 10.1016/0002-9610(58)90908-5. [DOI] [PubMed] [Google Scholar]
  13. McGoon D. C., Wallace R. B., Danielson G. K. The Rastelli operation. Its indications and results. J Thorac Cardiovasc Surg. 1973 Jan;65(1):65–75. [PubMed] [Google Scholar]
  14. Ochsner J. L., Jordan J. D., Moore C. B. Congenital heart disease in adults. South Med J. 1967 Feb;60(2):164–170. doi: 10.1097/00007611-196702000-00015. [DOI] [PubMed] [Google Scholar]
  15. Rastelli G. C., Wallace R. B., Ongley P. A. Complete repair of transposition of the great arteries with pulmonary stenosis. A review and report of a case corrected by using a new surgical technique. Circulation. 1969 Jan;39(1):83–95. doi: 10.1161/01.cir.39.1.83. [DOI] [PubMed] [Google Scholar]
  16. Ross D. N., Somerville J. Correction of pulmonary atresia with a homograft aortic valve. Lancet. 1966 Dec 31;2(7479):1446–1447. doi: 10.1016/s0140-6736(66)90600-3. [DOI] [PubMed] [Google Scholar]
  17. SOMERVILLE J., MCDONALD L., EDGILL M. POST-OPERATIVE HAEMORRHAGE AND RELATED ABNORMALITIES OF BLOOD COAGULATION IN CYANOTIC CONGENITAL HEART DISEASE. Br Heart J. 1965 May;27:440–448. doi: 10.1136/hrt.27.3.440. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Sakakibara S., Tominaga S., Imai Y., Uehara K., Matsumuro M. Successful total correction of common ventricle. Chest. 1972 Feb;61(2):192–194. doi: 10.1378/chest.61.2.192. [DOI] [PubMed] [Google Scholar]
  19. Somerville J. Management of pulmonary atresia. Br Heart J. 1970 Sep;32(5):641–651. doi: 10.1136/hrt.32.5.641. [DOI] [PMC free article] [PubMed] [Google Scholar]

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