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Tetralogy of Fallot with an Innominate Artery Aneurysm

Tetralogy of Fallot with an Innominate Artery Aneurysm Abstract The tetralogy of Fallot has become a well-recognized entity, readily diagnosed and partially or totally corrected by various surgical procedures.* During the diagnostic evaluation and the surgical exploration, a wide variety of associated anomalies have been encountered and described. Variations of the great vessels are the commonest, and, in reviewing 610 cases with operation, Blalock and Bahnson4 found 140 right aortic arches, 26 retroesophageal subclavian arteries, 1 double aortic arch, and 1 instance of absence of the innominate artery on the left. To date, so far as can be determined, no case of an aneurysm of the innominate artery associated with pulmonic stenosis has been published. The following case is that of a typical tetralogy of Fallot and an aneurysm of the innominate artery. Report of a Case A 22-year-old white female student was admitted to Mississippi State Sanatorium on Dec. 9, 1952, because of an undiagnosed lesion in References 1. References 1-3. 2. Keefer, E. B. C.; Lazzarini, A. A., and Frank, G.: Clinical Applications of Blood Vessel Replacement, read before the 28th Scientific Session of the American Heart Association, New Orleans, Oct. 22, 1955. 3. Blalock, A., and Taussig, H. B.: Surgical Treatment of Malformations of the Heart , J. A. M. A. 128:189 ( (May 19) ) 1945.Crossref 4. Lillehei, C. W.; Cowen, M.; Warden, H. E., and Varco, R. L.: The Direct-Vision Intracardiac Correction of Congenital Anomalies by Controlled Cross Circulation , Surgery 38:11 ( (July) ) 1955. 5. Potts, W. J.; Gibson, S.; Berman, E.; White, H., and Miller, R. A.: Surgical Correction of Tetralogy of Fallot , J. A. M. A. 159:95 ( (Sept. 10) ) 1955.Crossref 6. Blalock, A., and Bahnson, H. T.: Operations Performed and Vascular Anomalies Encountered in Treatment of Congenital Pulmonic Stenosis , Ann. Roy. Coll. Surgeons England 3:57 ( (Aug.) ) 1948. 7. Campbell, M., and Deuchar, D.: Results of the Blalock-Taussig Operation in 200 Cases of Morbus Caeruleus Brit. M. J. 1:349 ( (Feb. 14) ) 1953.Crossref 8. Johns, T. N. P.; Williams, G. R., and Blalock, A.: The Anatomy of Pulmonary Stenosis and Atresia with Comments on Surgical Therapy , Surgery 33:161 ( (Feb.) ) 1953. 9. Wolffe, J. B.: Coarctation of the Aorta Associated with Rheumatic Infection and Aneurysm of the Innominate Artery , Arch. Pediat. 49:100 ( (Feb.) ) 1932. 10. Gay, B. B., Jr., and Walker, J. F.: Aneurysm of the Innominate Artery , Radiology 60:804 ( (June) ) 1953.Crossref 11. Shumacker, H. B., Jr.: Surgical Cure of Innominate Aneurysm: Report of a Case with Comments on the Application of Surgical Measures , Surgery 22:729 ( (Nov.) ) 1947. 12. Kirby, C. K., and Johnson, J.: Innominate Artery Aneurysm Treated by Resection and End-to-End Anastomosis , Surgery 33:562 ( (April) ) 1953. 13. Hardy, J. D.: Excision of Syphilitic-Arteriosclerotic Aneurysm: Technical and Physiological Considerations with Report of a Case , Ann. Surg. 137:399 ( (March) ) 1953.Crossref 14. Webb, W. R., and Burford, T. H.: Gangrene of the Arm Following Use of the Subclavian Artery in a Pulmonosystemic (Blalock) Anastomosis , J. Thoracic Surg. 23:199 ( (Feb.) ) 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Tetralogy of Fallot with an Innominate Artery Aneurysm

A.M.A. Archives Surgery , Volume 73 (6) – Dec 1, 1956

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1956.01280060099023
Publisher site
See Article on Publisher Site

Abstract

Abstract The tetralogy of Fallot has become a well-recognized entity, readily diagnosed and partially or totally corrected by various surgical procedures.* During the diagnostic evaluation and the surgical exploration, a wide variety of associated anomalies have been encountered and described. Variations of the great vessels are the commonest, and, in reviewing 610 cases with operation, Blalock and Bahnson4 found 140 right aortic arches, 26 retroesophageal subclavian arteries, 1 double aortic arch, and 1 instance of absence of the innominate artery on the left. To date, so far as can be determined, no case of an aneurysm of the innominate artery associated with pulmonic stenosis has been published. The following case is that of a typical tetralogy of Fallot and an aneurysm of the innominate artery. Report of a Case A 22-year-old white female student was admitted to Mississippi State Sanatorium on Dec. 9, 1952, because of an undiagnosed lesion in References 1. References 1-3. 2. Keefer, E. B. C.; Lazzarini, A. A., and Frank, G.: Clinical Applications of Blood Vessel Replacement, read before the 28th Scientific Session of the American Heart Association, New Orleans, Oct. 22, 1955. 3. Blalock, A., and Taussig, H. B.: Surgical Treatment of Malformations of the Heart , J. A. M. A. 128:189 ( (May 19) ) 1945.Crossref 4. Lillehei, C. W.; Cowen, M.; Warden, H. E., and Varco, R. L.: The Direct-Vision Intracardiac Correction of Congenital Anomalies by Controlled Cross Circulation , Surgery 38:11 ( (July) ) 1955. 5. Potts, W. J.; Gibson, S.; Berman, E.; White, H., and Miller, R. A.: Surgical Correction of Tetralogy of Fallot , J. A. M. A. 159:95 ( (Sept. 10) ) 1955.Crossref 6. Blalock, A., and Bahnson, H. T.: Operations Performed and Vascular Anomalies Encountered in Treatment of Congenital Pulmonic Stenosis , Ann. Roy. Coll. Surgeons England 3:57 ( (Aug.) ) 1948. 7. Campbell, M., and Deuchar, D.: Results of the Blalock-Taussig Operation in 200 Cases of Morbus Caeruleus Brit. M. J. 1:349 ( (Feb. 14) ) 1953.Crossref 8. Johns, T. N. P.; Williams, G. R., and Blalock, A.: The Anatomy of Pulmonary Stenosis and Atresia with Comments on Surgical Therapy , Surgery 33:161 ( (Feb.) ) 1953. 9. Wolffe, J. B.: Coarctation of the Aorta Associated with Rheumatic Infection and Aneurysm of the Innominate Artery , Arch. Pediat. 49:100 ( (Feb.) ) 1932. 10. Gay, B. B., Jr., and Walker, J. F.: Aneurysm of the Innominate Artery , Radiology 60:804 ( (June) ) 1953.Crossref 11. Shumacker, H. B., Jr.: Surgical Cure of Innominate Aneurysm: Report of a Case with Comments on the Application of Surgical Measures , Surgery 22:729 ( (Nov.) ) 1947. 12. Kirby, C. K., and Johnson, J.: Innominate Artery Aneurysm Treated by Resection and End-to-End Anastomosis , Surgery 33:562 ( (April) ) 1953. 13. Hardy, J. D.: Excision of Syphilitic-Arteriosclerotic Aneurysm: Technical and Physiological Considerations with Report of a Case , Ann. Surg. 137:399 ( (March) ) 1953.Crossref 14. Webb, W. R., and Burford, T. H.: Gangrene of the Arm Following Use of the Subclavian Artery in a Pulmonosystemic (Blalock) Anastomosis , J. Thoracic Surg. 23:199 ( (Feb.) ) 1952.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1956

References