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Ann Thorac Surg 1985;40:512-515
© 1985 The Society of Thoracic Surgeons

Articles

Beneficial Preparatory Aortopulmonary Shunt for Anatomical Repair of Transposition of the Great Arteries with Intact Ventricular Septum

Hiroyuki Nakano, M.D.*, Ken Ueda, M.D., Akihiro Saito, M.D., Michio Yokota, M.D., Minoru Aoshima, M.D., Yoshisada Shiraishi, M.D.

From the Division of Pediatric Cardiology and Cardiovascular Surgery, Shizuoka Children's Hospital

Accepted for publication January 9, 1985.

* Address reprint requests to Dr. Nakano, Division of Pediatric Cardiology, Shizuoka Children's Hospital, Urushiyama 860, Shizuoka-shi 420, Japan

Anatomical repair was successfully performed in an infant with transposition of the great arteries and intact ventricular septum who had previously received a Blalock-Taussig shunt. In this patient, creation of an aortopulmonary anastomosis induced a well-developed left ventricle with concomitant adequately increased pressure and mass. Beneficial aortopulmonary shunt that precedes the anatomical repair in selected patients with simple transposition is discussed.






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Copyright © 1985 by The Society of Thoracic Surgeons.