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The Annals of Thoracic Surgery, Vol 20, 316-325, Copyright © 1975 by The Society of Thoracic Surgeons
DB Doty, RM Lauer and JL Ehrenhaft
A proposed preferred treatment plan consisting of one-stage operative
repair of congenital cardiac anomalies whenever complete correction was
feasible and operative intervention required was tested during the period
February 1, 1972, to September 15, 1974. Experience with 74 patients aged
14 hours to 24 months allows some conclusions to be made regarding the
advisability of this approach. For patients with ventricular defect and
tetralogy of Fallot, this approach has quite acceptable results and
certainly is more direct than palliative operations and second-stage
repair. The hypothesis is more difficult to justify in patients with
transposition of the great arteries. By avoiding repair in patients under 4
months of age and using a better technique for placement of the intraatrial
partition, improved results are anticipated. In the miscellaneous group of
anomalies, results depend upon the complexity of the defect and the ability
to achieve accurate anatomical correction. After an early mortality of 20%
and some late deaths, survival and improvement resulted in 51 of these
babies. These results justify persistence in the choice of one-stage
correction when operative intervention is required.
ARTICLES
Congenital cardiac anomalies: one-stage repair in infancy
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