[Palliative treatment of transposition of the great vessels. Indications and results. (author's transl)].
From 1973 to 1977, 93 infants (63 newborns) with d-TGA were treated with Blalock-Hanlon operation. All children had Rashkind atrioseptostomy at birth. 65 infants with isolated TGV were operated upon with two deaths (3%) and without any complication. 18 patients with TGV and VSD were treated with Blalock-Hanlon operation and Pulmonary Artery Banding and resulted in 5 deaths (28%). The other 10 cases had complex lesions. The overall operative mortality is 8.6%. The late mortality is 3.5%. The authors conclude that the Blalock-Hanlon operation is a safe procedure even in complex lesions. This kind of surgery does not seem to induce any arythmias but the authors did not perform any 24 hours ECG recording. This type of surgery makes the repair (Mustard operation) easier since the atrial septum is already removed.
D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010166:Palliative Care; D011651:Pulmonary Artery / Q000601:surgery; D014188:Transposition of Great Vessels / Q000150:complications / Q000401:mortality / Q000601:surgery*
Traitement palliatif de la transposition complète des gros vaisseaux par septectomie chirurgicale de Blalock-Hanlon.