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(Circulation. 1958;18:588.)
© 1958 American Heart Association, Inc.

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Results of Surgery for Congenital Pulmonary Stenosis

Comparison of the Transventricular and Transarterial Approaches

JOHN S. HANSON M.D.¹; DANAE IKKOS M.D.¹; CLARENCE CRAFOORD M.D.¹; CARL-OLOF OVENFORS M.D.¹

¹ From the Departments of Cardiology and Radiology, Pediatric Clinic, and Department of Surgery, Thorax Clinic, Caroline Hospital, Stockholm, Sweden.

Clinical and physiologic data before and after operation are presented in 2.5 patients who underwent surgical correction of congenital pulmonary stenosis with intact ventricular septum. Sixteen patients were operated on by the transventricular approach, 7 by the transarterial route, and 2 had infundibulectomies. Postoperative changes in the clinical status, phonocardiogram, electrocardiogram, x-rays, and right heart catheterization values are discussed. Comparison is made of the 2 major operative technics both in the present group and in cases gathered from a review of the literature.