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Experience with Twenty-Two Surgical Cases

HENRY SWAN, M.D., D.Sc.; THOMAS MARCHIORO, M.D.; SAMUEL KINARD, M.D.; S. GILBERT BLOUNT, M.D.

AMA Arch Surg. 1960;81(2):291-298.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The "trilogy," consisting of pulmonary stenosis with intact ventricular septum, right ventricular hypertrophy, and a defect in the atrial septum, was first described by Fallot.¹ In his series of seven patients, the stenosis was valvular in six and infundibular in one. All seven had a patent foramen ovale, and in one a second defect of the atrial septum was present.

Although the trilogy of Fallot is considered to be an infrequent lesion, growing experience with surgery for congenital heart disease has shown it to be commoner than previously thought. Abrahams and Wood² in their series found tetralogy of Fallot in 14% and trilogy in 1.2%. In this institution, a total of 370 cases of congenital heart disease have come to surgery. Of this group, 22 were patients with trilogy—an incidence of 6%. This report details our experience since 1951 with the surgical treatment of these 22 cases . . . [Full Text PDF of this Article]

Author Affiliations
Denver

From the Departments of Surgery and Medicine, University of Colorado School of Medicine.

Footnotes
Aided in part by a Grant-in-Aid from the U.S. Public Health Service, H-2701-C3.

Read at the 17th Annual Meeting of the Central Surgical Association, Chicago, Feb. 19, 1960.

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