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The Journal of Thoracic and Cardiovascular Surgery, Vol 88, 620-626, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
JA Hawkins and DB Doty
A quantitative anatomic study of 54 cardiac specimens with aortic atresia
is related to surgical treatment of patients with aortic atresia and
hypoplastic left heart syndrome. Coarctation of the aorta was present in
80% of patients with aortic atresia and should influence the extent of
aortic arch reconstruction when present. Other associated cardiac defects
were uncommon but, when present, may be contraindications to operative
palliation because of added complexity of the operation. Anatomic
abnormalities of the tricuspid or pulmonary valve were present in 7% of
cases and could be important in the outcome of palliative procedures.
Natural survival was related to thickness of the right ventricular wall so
that selection of those infants with thicker and better functioning right
ventricles may improve short-term and long-term operative results in aortic
atresia.
ARTICLES
Aortic atresia: morphologic characteristics affecting survival and operative palliation
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