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. 1968 May;23(3):256–260. doi: 10.1136/thx.23.3.256

The surgical relief of transposition of the great vessels in infancy

T G O'Donovan 1,2,3, C N Barnard 1,2,3, M S Gotsman 1,2,3
PMCID: PMC471787  PMID: 5656760

Abstract

The necessity for palliative surgery in transposition of the great vessels is indicated and the basic haemodynamics of the condition are outlined. The clinical picture of infants with transposition is divided into three types, and a method of surgical treatment is suggested for the two most common types. Our technique of investigation and treatment is described and the reasons for our choice of therapy are discussed. The results of cases operated upon are presented.

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Selected References

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

  1. ALBERT H. M., FOWLER R. L., CRAIGHEAD C. C., GLASS B. A., ATIK M. Pulmonary artery banding. A treatment for infants with intractable cardiac failure due to interventricular septal defects. Circulation. 1961 Jan;23:16–20. doi: 10.1161/01.cir.23.1.16. [DOI] [PubMed] [Google Scholar]
  2. Cornell W. P., Maxwell R. E., Haller J. A., Sabiston D. C. Results of the Blalock-Hanlon operation in 90 patients with transposition of the great vessels. J Thorac Cardiovasc Surg. 1966 Oct;52(4):525–532. [PubMed] [Google Scholar]
  3. Gallaher M. E., Fyler D. C., Lindesmith G. G. Transposition with intact ventricular septum. Its diagnosis and management in the small infant. Am J Dis Child. 1966 Mar;111(3):248–255. doi: 10.1001/archpedi.1966.02090060058003. [DOI] [PubMed] [Google Scholar]
  4. Gotsman M. S. Changes in acid-base profile in infants and children with heart disease. S Afr Med J. 1967 Aug 26;41(32):791–795. [PubMed] [Google Scholar]
  5. Grainger R. G., Nagle R. E., Pawidapha C., Robertson D. S., Taylor D. G., Thornton J. A., Verel D., Zachary R. B. Pulmonary artery banding for ventricular septal defect. Br Heart J. 1967 May;29(3):289–298. doi: 10.1136/hrt.29.3.289. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Grainger R. G., Taylor D. G., Verel D. Cardiac catheterisation and selective angiocardiography in congenital heart disease presenting in the neonate. Clin Radiol. 1966 Jan;17(1):12–22. doi: 10.1016/s0009-9260(66)80115-0. [DOI] [PubMed] [Google Scholar]
  7. Hanlon C. R., Blalock A. Complete Transposition of the Aorta and the Pulmonary Artery: Experimental Observations on Venous Shunts as Corrective Procedures. Ann Surg. 1948 Mar;127(3):385–397. doi: 10.1097/00000658-194803000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Jordan S. C., McCarthy C. Haemodynamic consequences of atrial septostomy without thoracotomy in an infant with transposition of the great arteries. Lancet. 1967 Feb 11;1(7485):310–311. doi: 10.1016/s0140-6736(67)91242-1. [DOI] [PubMed] [Google Scholar]
  9. KEITH J. D., NEILL C. A., VLAD P., ROWE R. D., CHUTE A. L. Transposition of the great vessels. Circulation. 1953 Jun;7(6):830–838. doi: 10.1161/01.cir.7.6.830. [DOI] [PubMed] [Google Scholar]
  10. Lindesmith G. G., Gallaher M. E., Durnin R. E., Meyer B. W., Jones J. C. Cardiac surgery in the first month of life. Ann Thorac Surg. 1966 Mar;2(2):250–271. doi: 10.1016/s0003-4975(10)66571-x. [DOI] [PubMed] [Google Scholar]
  11. MULLER W. H., Jr, DANIMANN J. F., Jr The treatment of certain congenital malformations of the heart by the creation of pulmonic stenosis to reduce pulmonary hypertension and excessive pulmonary blood flow; a preliminary report. Surg Gynecol Obstet. 1952 Aug;95(2):213–219. [PubMed] [Google Scholar]
  12. MUSTARD W. T., KEITH J. D., TRUSLER G. A., FOWLER R., KIDD L. THE SURGICAL MANAGEMENT OF TRANSPOSITION OF THE GREAT VESSELS. J Thorac Cardiovasc Surg. 1964 Dec;48:953–958. [PubMed] [Google Scholar]
  13. NOONAN J. A., NADAS A. S., RUDOLPH A. M., HARRIS G. B. Transposition of the great arteries. A correlation of clinical, physiologic and autopsy data. N Engl J Med. 1960 Oct 13;263:739–concl. doi: 10.1056/NEJM196010132631506. [DOI] [PubMed] [Google Scholar]
  14. Rashkind W. J., Miller W. W. Creation of an atrial septal defect without thoracotomy. A palliative approach to complete transposition of the great arteries. JAMA. 1966 Jun 13;196(11):991–992. [PubMed] [Google Scholar]
  15. 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]
  16. Watson H., Rashkind W. J. Creation of atrial septal defects by balloon catheter in babies with transposition of the great arteries. Lancet. 1967 Feb 25;1(7487):403–405. doi: 10.1016/s0140-6736(67)91172-5. [DOI] [PubMed] [Google Scholar]

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