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Douglas M. Behrendt
Marvin M. Kirsh
Mark B. Orringer
Herbert Sloan
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Ann Thorac Surg 1975;20:424-432
© 1975 The Society of Thoracic Surgeons

Articles

The Blalock-Hanlon Procedure

A New Look at an Old Operation

Douglas M. Behrendt, M.D.*, Marvin M. Kirsh, M.D., Mark B. Orringer, M.D., Burton Perry, M.D., Joan Sigmann, M.D., Aaron Stern, M.D., Herbert Sloan, M.D.

From the Department of Surgery, Section of Thoracic Surgery, and the Department of Pediatrics, University of Michigan Medical Center, Ann Arbor, Mich.

* Address reprint requests to Dr. Behrendt, C-7175 University Hospital, Ann Arbor, Mich. 48104

The Blalock-Hanlon procedure has been carried out in 48 neonates with 10 early deaths (21%). This compares favorably with the reported early mortality for balloon atrial septostomy. Most striking have been the length of palliation, freedom from complications, and low incidence of late death among these patients. In contrast, reported series of balloon septostomies have shown a high incidence of strokes, repeat hospitalization, inadequate palliation, and late deaths. Since palliation is reliable following a Blalock-Hanlon procedure, we do not favor early correction with hypothermic arrest but recommend it at 12 to 18 months of age, when conventional perfusion can be easily utilized.




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