A palliative procedure in patients with pulmonary atresia with VSD should improve arterial oxygen saturation, allow growth and development, and promote a uniform dilatation of the pulmonary arteries. Thirty three severely symptomatic patients, ranging from 5 days to 24 mth old and from 2.4 to 11 kg of weight, underwent a variety of palliative operations, including the ascending aorta right pulmonary artery shunt (intrapericardial: 15 cases; extrapericardial: 14 cases), and the Blalock shunt (4 cases). In two cases, both with absence of the left pulmonary artery, a Waterston shunt was performed using cardiopulmonary bypass. The operative mortality was 20%. In two patients an additional shunt procedure was deemed necessary due to persistent cyanosis. All the survivors improved in terms of arterial oxygen saturation, growth and development. There were no later deaths (mean followup: 23 mth).
|Translated title of the contribution||Results of palliative operations in infants with pseudotruncus arteriosus|
|Number of pages||8|
|Journal||Giornale Italiano di Cardiologia|
|Publication status||Published - 1976|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine