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November 1964

Complete Transportation Of Great VesselsResults of Surgical Treatment

Arch Surg. 1964;89(5):891-898. doi:10.1001/archsurg.1964.01320050137013

Complete transposition of the great vessels is one of the most complex congenital cardiovascular anomalies. Origin of the aorta from the right ventricle and pulmonary artery from the left ventricle results in two closed circuits—a condition which is not compatible with life unless intercommunications exist as either septal defects or a patent ductus arteriosus. During the past two decades many surgical procedures have been utilized for palliation or cure of patients afflicted with transposition. The purpose of this communication is to review our experience with the operative treatment of transposition of the great vessels and to describe the operative technique utilized in the majority of patients with this anomaly.

Clinical Material and Results  During the ten-year period, 1954-1963, 129 patients underwent surgical procedures for transposition of the great vessels. The principal indication for operation was hypoxemia but cardiac failure was present in many instances. Cardiac catheterization, an giocardiography, or both