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September 1949


Author Affiliations

From the Cardio-Vascular Service of the Cook County Children's Hospital and the Laboratories of the Presbyterian Hospital.

Arch Surg. 1949;59(3):445-453. doi:10.1001/archsurg.1949.01240040453008

WILLIS POTTS and Sidney Smith1 added an important chapter in the treatment of tetralogy of Fallot to that which Blalock and Taussig2 so well began. The Potts-Smith operation, a lateral anastomosis of the pulmonary artery to the aorta, establishes an artificial ductus arteriosus, thus utilizing vessels that are accessible and large enough so that the infant under the age of 2 years who heretofore died of severe oxygen want now has a chance to live. It has been stated that there is a greater mortality in the group awaiting operation than in the operative and postoperative group.

The favorable results we have had with the Potts-Smith procedure in the age group from 4 to 12 months encouraged us to attempt this operation on 3 very small, cyanotic infants with diagnoses of congenital tricuspid atresia, or nonfunctioning right ventricle. There have been other cases of tricuspid atresia reported but

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