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(Circulation. 1965;31:I-21.)
© 1965 American Heart Association, Inc.

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Palliative Procedure for Treatment of Transposition of the Great Vessels

GEORGE G. LINDESMITH M.D.¹; BERT W. MEYER M.D.¹; JOHN C. JONES M.D.¹; MARIAN GALLAHER M.D.¹

¹ From the University of Southern California School of Medicine, Children's Hospital of Los Angeles, Los Angeles, California.

1. Extreme efforts at palliation seem indicated in the very young infant with transposition of the great vessels and no accompanying defects of note since good candidates for later total correction may thereby be preserved.

[see table in the PDF file]

2. A palliative procedure is presented wherein an atrial septal defect is created, and the blood flow from the inferior vena cava is diverted through the defect.

3. Presented are nine patients less than two months of age and with arterial oxygen saturations less than 35% who underwent the described procedure.

4. There were two early and two late deaths. The survivors are all doing well clinically and have required no further procedure.