BLALOCK-TAUSSIG ANASTOMOSIS FOR TETRALOGY OF FALLOT

The mortality rate for total correction of Fallot's tetralogy on cardiac bypass with or without a Blalock-Taussig anastomosis is still relatively high (Kirklin et al., 1959; Lillehei et al., 1957; Taussig et al., 1962). Favourable reports concerning the results of the Blalock-Taussig procedure in patients followed for five to ten years have been published (Taussig and Bauersfeld, 1953; Campbell and Deuchar, 1953; White et al., 1956; Rumel, 1958; Brock, 1959; Shumacker and Mandelbaum, 1960). While total correction is the ideal, the mortality rate must be weighed against the long-term beneficial effects of the safer Blalock-Taussig operation. In the present investigation we have studied the results of the Blalock-Taussig operation performed ten or more years ago in the United Birmingham Hospitals and have compared them with the outcome in a group of untreated patients with Fallot's tetralogy over the same period. We were also interested in the effects of a left-to-right shunt, created after birth, on the underperfused pulmonary circulation, since the occasional development of pulmonary hypertension has been reported in some of these patients (Leeds, 1958; Ross, Taussig, and Evans, 1958; Epstein and Naji, 1960; Ferencz, 1960; Paul, Miller, and Potts, 1961; McGaff, Ross, and Braunwald, 1962).

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