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Simple Transposition of the Great Arteries

Virginia Herrmann, MD; Hillel Laks, MD; George C. Kaiser, MD; Hendrick B. Barner, MD; Vallee L. Willman, MD

Arch Surg. 1975;110(11):1387-1390.

Abstract
• Between 1959 and 1975 at St. Louis University Medical Center, 71 patients underwent surgery with the Blalock-Hanlon technique. Thirty-nine had simple transposition of the great vessels. The mean age at the time of operation was 3.4 weeks. Sixty-four percent were less than 1 month of age. Eighty-five percent survived the operation. In 11 the Blalock-Hanlon procedure was performed after failure of balloon septostomy. Arterial saturation was increased from a mean of 47% to 73%. There were three late deaths prior to Mustard repair (intra-atrial baffle procedure). Sixteen patients underwent Mustard repair at a mean age of 4 years and a mean follow-up of 2 years. There were three deaths after surgery and three late deaths after the Mustard procedure. The Blalock-Hanlon procedure achieves prolonged palliation, avoiding an emergency Mustard procedure in infancy with its risk of late vena caval obstruction.

(Arch Surg 110:1387-1390, 1975)

Author Affiliations
From the Department of Surgery, St. Louis University School of Medicine.

Footnotes
Accepted for publication June 27, 1975.

Read before the 23rd scientific meeting of the International Cardiovascular Society, Boston, June 20, 1975.

Reprint requests to Department of Surgery, St. Louis University School of Medicine, 1325 S Grand Blvd, St. Louis, MO 63104 (Dr Laks).

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