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Ann Thorac Surg 1976;22:495-497
© 1976 The Society of Thoracic Surgeons

Articles

Palliation of Infants with Truncus Arteriosus through Creation of a Pulmonary Artery Ostial Stenosis

J. Jacques Mistrot, M.D., Richard L. Varco, M.D., Demetre M. Nicoloff, M.D.*

From the Department of Surgery, University of Minnesota-Minneapolis Medical School, Minneapolis, MN

Accepted for publication February 27, 1976.

* Address reprint requests to Dr. Nicoloff, Department of Surgery, Medical School, Box 280, Mayo Memorial Building, Minneapolis, MN 55455

A surgical procedure for palliation of infants with truncus arteriosus and excessive pulmonary blood flow (types I, II, and III) is described. The technique involves the production of ostial stenosis of the pulmonary artery from within the truncus using cardiopulmonary bypass. This method has been employed in 2 infants. The technique has advantages over pulmonary artery banding, which in general has produced disappointing results.




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