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EXPERIENCES WITH THE BLALOCK OPERATION FOR TETRALOGY OF FALLOT

EXPERIENCES WITH THE BLALOCK OPERATION FOR TETRALOGY OF FALLOT Abstract THE BLALOCK operation1 is the anastomosis of one of the systemic arteries arising from the aortic arch to either the right or the left pulmonary artery. This may be done by either an end to side or an end to end method of suture. The operation is indicated in cases of congenital pulmonary stenosis or atresia of the pulmonary orifice. Although pure pulmonary stenosis does occur, most children with this anomaly also have the associated defects of dextroposition of the aorta, interventricular septal defect and right ventricular enlargement. This is known as tetralogy of Fallot. The disabling factor in the malformation is the pulmonary stenosis, which prevents sufficient blood from reaching the lungs to permit normal oxygenation of the blood. The diagnosis of pulmonary stenosis is made on the presence of noticeable cyanosis, clubbing of the fingers and toes, increased red blood cell count and the appearance of the References 1. Blalock, A., and Taussig, H. B.: Surgical Treatment of Malformations of the Heart in Which There Is Pulmonary Stenosis on Pulmonary Atresia , 128:189 ( (May 19) ) 1945. 2. Blalock, A.: Ann. Surg. 124:879 ( (Nov.) ) 1946.Crossref 3. Harmel, M. H., and Lamont, A.: Anesthesiology 7:477 ( (Sept.) ) 1946.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

EXPERIENCES WITH THE BLALOCK OPERATION FOR TETRALOGY OF FALLOT

Archives of Surgery , Volume 55 (5) – Nov 1, 1947

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Publisher
American Medical Association
Copyright
Copyright © 1947 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1947.01230080548004
Publisher site
See Article on Publisher Site

Abstract

Abstract THE BLALOCK operation1 is the anastomosis of one of the systemic arteries arising from the aortic arch to either the right or the left pulmonary artery. This may be done by either an end to side or an end to end method of suture. The operation is indicated in cases of congenital pulmonary stenosis or atresia of the pulmonary orifice. Although pure pulmonary stenosis does occur, most children with this anomaly also have the associated defects of dextroposition of the aorta, interventricular septal defect and right ventricular enlargement. This is known as tetralogy of Fallot. The disabling factor in the malformation is the pulmonary stenosis, which prevents sufficient blood from reaching the lungs to permit normal oxygenation of the blood. The diagnosis of pulmonary stenosis is made on the presence of noticeable cyanosis, clubbing of the fingers and toes, increased red blood cell count and the appearance of the References 1. Blalock, A., and Taussig, H. B.: Surgical Treatment of Malformations of the Heart in Which There Is Pulmonary Stenosis on Pulmonary Atresia , 128:189 ( (May 19) ) 1945. 2. Blalock, A.: Ann. Surg. 124:879 ( (Nov.) ) 1946.Crossref 3. Harmel, M. H., and Lamont, A.: Anesthesiology 7:477 ( (Sept.) ) 1946.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1947

References