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Enrique A. Bonfils-Roberts
Dwight C. McGoon
Gordon K. Danielson
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Ann Thorac Surg 1974;17:200-209
© 1974 The Society of Thoracic Surgeons


Articles

Corrected Transposition

Surgical Treatment of Associated Anomalies

Enrique A. Bonfils-Roberts, M.D.*, Barbara Guller, M.D., Dwight C. McGoon, M.D., Gordon K. Danielson, M.D.

From the Mayo Clinic and Mayo Foundation, Rochester, Minn

* Address reprint requests to the Section of Publications, Mayo Clinic, Rochester, Minn. 55901

From 1958 through September, 1972, 25 Mayo Clinic patients underwent repair or palliation of one or more cardiac anomalies associated with corrected transposition. Their ages ranged from 7 months to 45 years (median 5 years). The most common associated anomalies were ventricular septal defect and insufficiency of the systemic atrioventricular valve. Four patients underwent cardiac operations without the use of extracorporeal circulation, and the anomalies in the remaining 21 patients were repaired by open-heart surgery. There were 11 deaths within 30 days after operation and 2 late deaths. Approximately half of the patients are alive with a satisfactory late result at the time of this report. Anatomical and technical considerations in the repair of anomalies associated with corrected transposition are discussed.




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