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April 1951

CONGENITAL PULMONARY STENOSIS: Postoperative Observations on Two Hundred and Fourteen Children

Author Affiliations

From the Children's Memorial Hospital, Chicago.

AMA Am J Dis Child. 1951;81(4):465-470. doi:10.1001/archpedi.1951.02040030476001

INCREASING interest has been aroused in congenital malformations of the heart accompanied with cyanosis since Blalock and Taussig first reported a surgical technic to relieve congenital pulmonary stenosis.1 In 1946, Potts, Smith and Gibson2 described a modified technic for alleviating the symptoms arising from this condition. In either instance an additional artificial channel is created which is physiologically similar to a patent ductus arteriosus. We should like to report on the progress of the first 214 children operated on at Children's Memorial Hospital for congenital pulmonary stenosis. The future course of these patients is a matter of conjecture, and a long range study will be necessary. However, sufficient time has elapsed for us to make some preliminary postoperative observations.

The preoperative diagnosis was tetralogy of Fallot in 199 cases and tricuspid atresia in 15 cases. An aortic-pulmonary anastomosis was established in 177 cases; a Blalock operation was performed

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