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(Circulation. 1967;35:I-119.)
© 1967 American Heart Association, Inc.

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Surgical Correction of Tetralogy of Fallot with Previous Systemic to Pulmonary Artery Shunts

BERT W. MEYER M.D.¹; GEORGE G. LINDESMITH M.D.¹; ROBERT E. STANTON M.D.¹; JOHN C. JONES M.D.¹

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

Fifty-four patients with previous Blalock (32) and Potts (22) systemic artery-pulmonary artery shunts and subsequent total correction for tetralogy of Fallot are reported. A separate posterolateral approach was employed to obliterate the Potts shunt. There were seven operative deaths and two late deaths. Infundibular stenosis with a normal pulmonary valve gave the best results. In comparison with our concomitant series without a shunt, the presence of a Blalock or Potts anastomosis did not affect the over-all result. Postoperative bleeding was a major complication, requiring reoperation in seven. An excellent result with probable cure was obtained in 30, and there was good improvement in ten of the 54 patients.