Tyers Gf

Ascending Aorta-Right Pulmonary Artery Anastomosis: Clinical Experience with Thirty-five Patients with Cyanotic Congenital Heart Disease

The results of ascending aorta-right pulmonary artery anastomosis in 35 patients are reported. The patients ranged in age from 18 hours to 12 years; 16 were less than 12 months old. Seventeen had tetralogy of Fallot, six had pulmonary atresia and a ventricular septal defect, and eight had tricuspid atresia with hypoplasia of the right ventricle. In six infants under 4 months of age with tricuspid atresia, an atrial septal defect was made by the balloon catheter technique prior to the shunt operation. Four patients initially required digitalis for left heart failure. Three patients died in the postoperative period. The remaining 32 patients have been followed up to 3 years and have done well and maintained adequate shunts.