Survival after systemic to pulmonary arterial shunts in infants less than 30 days old with obstructive lesions of the right heart chambers.

The American Journal of Cardiology
K U AzizW T Mustard

Abstract

Ninety-seven infants less than 30 days old with obstructive lesions of the right heart chambers underwent palliative surgery from 1950 through 1972. The diagnosis was made at cardiac catheterization and confirmed at operation or subsequent autopsy. Because of unavailability of complete preoperative studies and sufficient blood gas data, 36 patients presenting between 1950 and 1965 (Group I) were analyzed for surgical risk only. In 61 patients who underwent palliative procedures between 1966 and 1972 (Group II) a more detailed analysis was done. In this group, 31 had a Potts shunt, 29 a Waterston shunt and 1 a Blalock-Taussig shunt. The most frequently encountered malformation was severe tetralogy of Fallot (30 percent) with or without pulmonary atresia, followed by pulmonary atresia with intact ventricular septum (25 percent). The overall surgical mortality rate in patients seen after 1965 (Group II) was 34 percent compared with the 78 percent mortality rate in patients seen earlier (Group I). The surgical mortality in infants operated on during the 1st week of life was double that of those operated on in the 2nd through 4th weeks. Survivors were compared with nonsurvivors for timing of surgery, age at presentation and clinical...Continue Reading

References

Apr 1, 1972·The American Journal of Cardiology·E F LucksteadA M Diehl
Jun 1, 1968·The Annals of Thoracic Surgery·S KaplanD C Schwartz
Mar 1, 1974·Circulation·N J TrucconeW M Gersony
Apr 1, 1972·American Journal of Surgery·W F BernhardR E Gross
Mar 1, 1966·The Annals of Thoracic Surgery·G G LindesmithJ C Jones
Mar 4, 1971·The New England Journal of Medicine·L H EdmundsA M Rudolph
Dec 1, 1965·Circulation·S SubramanianR E Bonham-Carter
Aug 1, 1964·The Journal of Physiology·M J DAWKINS, D HULL
Feb 1, 1969·Annals of Surgery·R D WoodsonA Starr

❮ Previous
Next ❯

Citations

Aug 1, 1975·British Journal of Haematology·D E MacfarlaneH J Day
Sep 1, 1980·Circulation·L H EdmundsJ P Gadzik
Feb 1, 2005·Cardiology in the Young·Robert H AndersonNigel A Brown
Dec 17, 1998·Cardiology in the Young·K A Al JubairW Sawyer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.