Results of the Blalock-Hanlon operation in 90 patients with transposition of the great vessels

Wp, Cornell; Re, Maxwell; Ja, Haller; Dc, Sabiston

doi:10.1016/s0022-5223(19)43396-5

Cited by 36 publications

(4 citation statements)

References 8 publications

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“…1 As survival was highest in those with a large atrial septal defect (ASD), the Blalock-Hanlon atrial septectomy provided relief of severe cyanosis but with 60% mortality. 2 Percutaneous balloon atrial septostomy (BAS), first refined by William Rashkind in 1966, created an atrial communication with significantly lower mortality. With the advent of cardiopulmonary bypass in the 1950s, Senning and Mustard achieved success in different versions of the atrial switch procedure, creating a physiological but not anatomical correction that was utilized for 3 decades.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries

Files

Arya

2015

Semin Cardiothorac Vasc Anesth

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Transposition of the great arteries (TGA) refers to hearts with concordant atrioventricular connections but discordant ventriculoarterial connections. In this lesion, the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. As such, the pulmonary and aortic circulations run in parallel as opposed to in series, and this lesion is not compatible with survival without adequate mixing of these circulations. The management and outcomes of TGA parallels the field of pediatric cardiac surgery itself. Uniformly fatal in childhood, palliative procedures from the 1950s to 1970s offered survival, albeit at a high early and late cost. In the 1970s, the arterial switch operation (ASO) provided an anatomical "cure," with survival to adulthood in the current era of around 90%. Detailed perioperative imaging, attention to associated lesions, and comprehension of the physiology are critical to medical and surgical management.

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Section: Introductionmentioning

confidence: 99%

Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries

Files

Arya

2015

Semin Cardiothorac Vasc Anesth

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“…In each patient the need for immediate thoracotomy and surgical septostomy was avoided, thus sparing the patient from the risks of morbidity and mortality associated with surgical septostomy. [24][25][26][27][28][29][30][31][32][33][34][35] No complications were seen in association with KAS in any of our patients. Two of these children subsequently had successful corrective or palliative surgical procedures and two infants are awaiting total surgical correction.…”

Section: Discussionmentioning

confidence: 99%

Atrial Septostomy without Thoracotomy: The Experience with Transcatheter Knife Atrial Septostomy

Rao

Mardini

1983

Ann Saudi Med

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Four infants, three with transposition of the great arteries and one with mitral atresia and single ventricle, who did not improve following balloon atrial septostomy are presented. Each patient underwent transcatheter knife atrial septostomy with resultant improvement of interatrial mixing (in the transposition patients, there was immediate improvement in two and delayed improvement in one patient) or interatrial obstruction (in the mitral atresia patient). It is suggested that knife atrial septostomy is a safe and effective technique for nonsurgical palliation of congenital heart defects to enlarge a restrictive interatrial communication if balloon atrial septostomy has not been successful.

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“…The dorsal and right-lateral portion of the interatrial septum could then be excised, and the interatrial groove closed primarily. These technically challenging operations 40,41 were eventually replaced by the introduction of balloon septostomy by Rashkind and Miller in 1966. 42…”

Section: Intracardiac Operations By Early Closed or Semiclosed Methodsmentioning

confidence: 99%

Historical Accounts of Congenital Heart Surgery

Mavroudis,

Ong,

Vricella

et al. 2023

World J Pediatr Congenit Heart Surg

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We present historical accounts of congenital heart surgery since the early 1900s, as our specialty evolved from individual heroic efforts into an established and sophisticated surgical specialty with consistent and excellent results. We highlight colleagues and intrepid pioneers who have strived to solve seemingly insurmountable problems during this remarkable journey and celebrate continued success into the 21st century with surgical advances that have resulted in innovative operations, database inquiries, quality measures, new techniques of medical illustration, and the establishment of the Congenital Heart Surgeons’ Society, which has become the leading organization dedicated to congenital heart surgery in North America.

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Results of the Blalock-Hanlon operation in 90 patients with transposition of the great vessels

Cited by 36 publications

References 8 publications

Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries

Preoperative Physiology, Imaging, and Management of Transposition of the Great Arteries

Atrial Septostomy without Thoracotomy: The Experience with Transcatheter Knife Atrial Septostomy

Historical Accounts of Congenital Heart Surgery

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