This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (6)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Palliation of Cyanotic Congenital Heart Disease

W. A. REED, M.D.; C. FREDERICK KITTLE, M.D.; ALFRED HEILBRUNN, M.D.

AMA Arch Surg. 1963;86(1):87-95.

	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 relief of cyanosis in patients with right-sided cardiac defects with or without associated defects of the septum or great vessels usually has been by an arterial anastomotic procedure.⁹ The Potts and Blalock operations, although generally accepted, frequently are followed by heart failure or death. Results are better in patients beyond the immediate newborn period.¹³ These procedures are preferred for tetralogy of Fallot, but further evaluation is needed for the best palliation of other types of cyanotic heart disease in newborn infants. Such cyanotic lesions include tricuspid atresia, tricuspid stenosis, pulmonary atresia, Ebstein's anomaly, transposition of the great vessels, and complicated cardiopathies with decreased pulmonary blood flow.

More recently, superior vena cava-pulmonary artery shunt has been proposed in the treatment of cyanotic heart disease.^5,8,10 The supposed advantages of venous shunt as compared to a systemic arterial shunt are related to avoidance of heart failure and greater relief . . . [Full Text PDF of this Article]

Author Affiliations
KANSAS CITY, KAN.

From the Department of Surgery, University of Kansas Medical Center.

Footnotes
Read before the 10th Scientific Meeting of the International Cardiovascular Society, North American Chapter, Chicago, June 23, 1962.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?