This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

The Changing Prognosis

Edgar A. Newfeld, MD; Robert N. Eisenberg, MD; Dennison Young, MD

Am J Dis Child. 1970;120(4):320-323.

Abstract
Thirty-seven critically ill infants and children were seen over a ten-year period with the diagnosis of complete "D" transposition of the great arteries. Since 1967, balloon atrial septostomy has been performed at the original diagnostic cardiac catheterization. Previously, palliative treatment was surgical. Considerable improvement immediately followed balloon septostomy, and eight of the ten infants seen since 1967 are alive and doing well. Death occurred following attempted banding of the pulmonary artery in two infants with ventricular septal defects. One, a 7-day-old, also had an associated coarctation of the aorta. The use of balloon septostomy has greatly improved the outlook for infants with transposition of the great arteries, and allows more of them to grow to an age and size when total physiological correction (Mustard operation) may be safely undertaken.

Author Affiliations
Bronx, NY

From the Department of Pediatrics, Montefiore Hospital and Medical Center, and Albert Einstein College of Medicine, Bronx, NY.

Footnotes
Received for publication Feb 9, 1970.

Reprint requests to Department of Pediatrics, Montefiore Hospital and Medical Center, 111 E 210th St, Bronx, NY 10467 (Dr. Newfeld).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?