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The Japanese journal of surgery

, Volume 5, Issue 1, pp 1–11 | Cite as

Cyanotic congenital heart disease: Surgical techniques and pitfalls

  • Dwight C. McGoon
Article
  • 27 Downloads

Abstract

A review is presented of the currently employed approaches and techniques for the treatment of several forms of cyanotic congenital heart disease. Emphasis is placed on unusual associated defects which require special approaches for management. The question of definitive repair in infancy, as opposed to early palliation and later repair, is particularly pertinent to these conditions. It is evident that considerable progress has been made during the thirty-year evolution of surgery for congenital heart disease, but there are many advances yet to be made.

Key Words

tetralogy pulmonary atresia common ventricle truncus arteriosus conotruncal anomalies pulmonary hypertension anomalous coronary arteries 

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References

  1. 1.
    Arai, T., Hiyama, T., Miura, I., Takayasu, S., Morikawa, T., Akabane, I., Takao, A., and Ando, M.: Radical Surgery of Type A Single Ventricle. I. Two Successfully Treated Cases and an Evaluation of Radical Surgery. Jap. J. Thorac. Surg. 25: 394–400, 1972.PubMedGoogle Scholar
  2. 2.
    Berry, B. E., and McGoon, D. C.: Total Correction for Tetralogy of Fallot with Anomalous Coronary artery. Surgery 74: 894–898, 1973.PubMedGoogle Scholar
  3. 3.
    Berry, B. E., McGoon, D. C., Ritter, D. G., and Davis, G. D.: Absence of Anatomic Origin from Heart of Pulmonary Arterial Supply: Clinical Application of Classification. J. Thorac. Cardiovasc. Surg. 68: 119–125, 1974.PubMedGoogle Scholar
  4. 4.
    Blalock, A., and Taussig, H. B.: The Surgical Treatment of Malformations of the Heart in Which There Is Pulmonary Stenosis or Pulmonary Atresia. J.A.M.A. 128: 189–202, 1945.Google Scholar
  5. 5.
    Edwards, J. E., and McGoon, D. C.: Absence of Anatomic Origin from Heart of Pulmonary Arterial Supply. Circulation 47: 393–398, 1973.PubMedGoogle Scholar
  6. 6.
    Fellows, K. E., Freed, M. D., Keane, J. F., Van Praagh, R., Bernhard, W. F., and Castaneda, A. C.: Results of Routine Preoperative Coronary Angiography in Tetralogy of Fallot. Circulation 51: 561–566, 1975.PubMedGoogle Scholar
  7. 7.
    Hawe, A., Rastelli, G. C., Ritter, D. G., DuShane, J. W., and McGoon, D. C.: Management of the Right Ventricular Outflow Tract in Severe Tetralogy of Fallot. J. Thorac. Cardiovasc. Surg. 60: 131–143, 1970.PubMedGoogle Scholar
  8. 8.
    Hikasa, Y., Shirotani, H., Satomura, K., Muraoka, R., Abe, K., Tsushimi, K., Yokota, Y., Miki, S., Kawai, J., Mori, A., Okamoto, Y., Koie, H., Ban, T., Kanzaki, Y., and Yokota, M.: Open Heart Surgery in Infants with an Aid of Hypothermic Anesthesia. Arch. Jap. Chir. 36: 495–508, 1967.Google Scholar
  9. 9.
    Horiuchi, T., Koyamada, K., Ishitoya, T., Honda, T., Abe, T., and Sagawa, Y.: Radical Operation Under Hypothermia for Ventricular Septal Defect in Infancy: A Report of 64 Consecutive Cases, J. Cardiovasc. Surg. 8: 85–92, 1967.Google Scholar
  10. 10.
    Kaiser, G. A., Waldo, A. L., Black, P. M., Bowman, F. O., Jr., Hoffman, B. F., and Malm, J. R.: Specialized Cardiac Conduction System: Improved Electrophysiologic Identification Technique at Surgery. Arch. Surg. 101: 673–676, 1970.PubMedGoogle Scholar
  11. 11.
    Kinsley, R. H., McGoon, D. C., Danielson, G. K., Wallace, R. B., and Mair, D. D.: Pulmonary Arterial Hypertension After Repair of Tetralogy of Fallot. J. Thorac. Cardiovasc. Surg. 67: 110–120, 1974.PubMedGoogle Scholar
  12. 12.
    Kinsley, R. H., Ritter, D. G., and McGoon, D. C.: The Surgical Repair of Positional Anomalies of the Conotruncus. J. Thorac. Cardiovasc. Surg. 67: 395–403, 1974.PubMedGoogle Scholar
  13. 13.
    Kirklin, J. W., Harp, R. A., and McGoon, D. C.: Surgical Treatment of Origin of Both Vessels from the Right ventricle Including Cases of Pulmonary Stenosis. J. Thorac. Cardiovasc. Surg. 48: 1026–1036, 1964.PubMedGoogle Scholar
  14. 14.
    Krongrad, E., Ritter, D. G., Hawe, A., Kincaid, O. W., and McGoon, D. C.: Pulmonary Atresia or Severe Stenosis and Coronary Artery-to-Pulmonary Artery Fistula. Circulation 46: 1005–1012, 1972.PubMedGoogle Scholar
  15. 15.
    Kuers, P. F. W., and McGoon, D. C.: Tetralogy of Fallot with Aortic Origin of the Right Pulmonary Artery. J. Thorac. Cardiovasc. Surg. 65: 327–331, 1973.PubMedGoogle Scholar
  16. 16.
    Maloney, J. D., Ritter, D. G., McGoon, D. C., and Danielson, G. K.: Identification of the Conduction System in Patients with Corrected Transposition of the Great Arteries or Common Ventricle at Operation. Mayo Clin. Proc. (in press).Google Scholar
  17. 17.
    McGoon, D. C.: Technics of Open Heart Surgery for Congenital Heart Disease. Current Problems in Surgery 3–42, 1968.Google Scholar
  18. 18.
    McGoon, D. C., Baird, D. K., and Davis, G. D.: Surgical Management of Large Bronchial Collateral Arteries with Pulmonary Stenosis or Atresia. Circulation (in press).Google Scholar
  19. 19.
    McGoon, D. C.: Intraventricular Repair of Transposition of the Great Arteries. J. Thorac. Cardiovasc. Surg. 64: 430–434, 1972.PubMedGoogle Scholar
  20. 20.
    Mustard, W. T., Keith, J. D., Trusler, G. A., Fowler, R., and Kidd, B. S. L.: The Surgical Management of Transposition of the Great Vessels. J. Thorac. Cardiovasc. Surg. 48: 953–958, 1964.PubMedGoogle Scholar
  21. 21.
    Patrick, D. L., and McGoon, D. C.: An Operation for Double Outlet Right Ventricle with Transposition of the Great Arteries. J. Cardiovasc. Surg. 9: 537–542, 1968.Google Scholar
  22. 22.
    Rastelli, G. C.: A New Approach to “Anatomic” Repair of Transposition of the Great Arteries. Mayo Clin. Proc. 44: 1–12, 1969.PubMedGoogle Scholar
  23. 23.
    Rastelli, G. C., McGoon, D. C., and Wallace, R. B.: Anatomic Correction of Transposition of the Great Arteries with Ventricular Septal Defect and Subpulmonary Stenosis. J. Thorac. Cardiovasc. Surg. 58: 545–552, 1969.PubMedGoogle Scholar
  24. 24.
    Rosenquist, G. C., Sweeney, L. J., Stemple, D. R., Christianson, S. D., and Rowe, R. D.: Ventricular Septal Defect in Tetralogy of Fallot. Am. J. Cardiol. 31: 749–754, 1973.PubMedCrossRefGoogle Scholar
  25. 25.
    Sakakibara, S., Tominaga, S., Imai, Y., Uehara, K., and Matsumuro, M.: Successful Total Correction of Common Ventricle. Chest 61: 192–194, 1972.PubMedGoogle Scholar
  26. 26.
    Seki, S., and McGoon, D. C.: Surgical Techniques for Replacement of the Interventricular Septum. J. Thorac. Cardiovasc. Surg. 62: 919–925, 1971.PubMedGoogle Scholar
  27. 27.
    Seki, S., Tsakiris, A., and McGoon, D. C.: The Effect of a Prosthetic Ventricular Septum on Canine Cardiac Function, Surgery 71: 241–245, 1972.PubMedGoogle Scholar
  28. 28.
    Seki, S., Tsakiris, A. G., Mair, D. D., and McGoon, D. C.: Radical Correction of Single Ventricle in Experimental Model: Experimental and Clinical Results, Ann. Surg. 176: 748–752, 1972.PubMedGoogle Scholar
  29. 29.
    Van Praagh, R., Ongley, P. A., and Swan, H. J. C.: Anatomic Types of Single or Common Ventricle in Man: Morphologic and Geometric Aspects of 60 Necropsied Cases. Am. J. Cardiol. 13: 367–386, 1964.CrossRefGoogle Scholar

Copyright information

© The Japan Surgical Society 1975

Authors and Affiliations

  • Dwight C. McGoon
    • 1
  1. 1.Department of SurgeryMayo ClinicRochesterUSA

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