The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 927-933, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Ascending aorta-right pulmonary artery anastomosis in children with complex cardiac malformations. Long-term results in 30 cases
MA Ortega, V Grossman, R Jaen, G Silva, G Anselmi, I Machado, P Blanco, A Bello and E Martinez-Aguirre
In this report, we shall analyze the results obtained with palliative
treatment in 30 patients with congenital heart disease who were operated
upon at the University Hospital of Caracas during the period 1968 to 1972.
In all cases, an ascending aorta-right pulmonary artery anastomosis was
performed. Although we believe that the Blalock-Taussig and Potts shunt are
satisfactory operations in some cases, at the present time we prefer the
aorta-right pulmonary branch anastomosis in Fallots tetralogy and other
congenital heart diseases such as single ventricle. In Fallot's tetralogy,
particularly, this procedure provides better results, because the
anastomosis can be closed through the aorta when these patients are later
subjected to total correction with extracorporeal circulation.