This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kyger ER, I. Articles by Cooley, D. A. Search for Related Content PubMed PubMed Citation Articles by Kyger ER, I. Articles by Cooley, D. A.

Circulation, Vol 52, 685-690, Copyright © 1975 by American Heart Association

ARTICLES

Surgical palliation of tricuspid atresia

III Kyger ER, GJ Reul Jr, FM Sandiford, DC Wukasch, GL Hallman and DA Cooley

In the 20-year period ending December 31, 1973 we operated on 105 patients for palliation of tricuspid atresia (TA) with reduced pulmonary blood flow. Pott's anastomosis (85), Blalock-Taussig anastomosis (19), intrapericardial aorta (Ao)-to-right pulmonary artery (RPA) (18), Glenn procedure (3) and miscellaneous shunts (2) have been used. Of patients undergoing operation more than 15 years ago, 45% (9/20) are still alive. The over-all operative mortality was 9%. It was highest in patients less than one month of age (7/23, 30%). There were no operative deaths in patients older than 12 months. The median age at first operation for the entire series was five months. Our results indicate the Pott's anastomosis and Ao-to-RPA anastomosis are superior to the Blalock-Taussig anastomosis (BT) for palliation of TA. Of patients surviving BT, 69% (11/16) required reoperation, compared to 22% (17/78) surviving Pott's anastomosis and 13% (2/16) surviving Ao-to- RPA shunts. All three patients undergoing Glenn procedures (superior vena cava-to-RPA anastomosis) required reoperation or died without significant benefit. Ballon atrial septosomy and Pott's anastomosis appear to be indicated for infants less than six months of age, and Ao- to-RPA shunt with simultaneous atrial septectomy (if indicated) for older children.

This article has been cited by other articles:

				S. Tebich How Does One Safely Anesthetize a Univentricular Patient for Noncardiac Surgery? Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2001; 5(1): 40 - 45. [Abstract] [PDF]