Experiences in the Surgical Treatment of Tetralogy of Fallot: A Comparison of Results with and without a Previous Palliative Operation

The operative results on a group of children with tetralogy of Fallot treated by a variety of surgical methods has been presented. It seems apparent that those children undergoing a corrective operation with open-heart techniques who have previously had a palliative procedure have a mortality rate l...

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Veröffentlicht in:	Chest 1963-10, Vol.44 (4), p.428-430
1. Verfasser:	ROBINSON, SAUL J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Biometry Cardiac Surgical Procedures Child Humans Old Medline Palliative Care Statistics as Topic Tetralogy of Fallot Thoracic Surgery
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description	The operative results on a group of children with tetralogy of Fallot treated by a variety of surgical methods has been presented. It seems apparent that those children undergoing a corrective operation with open-heart techniques who have previously had a palliative procedure have a mortality rate less than half those undergoing the same corrective open-heart operation, but without the previous palliative procedure. This lower mortality rate compares favorably with the operative mortality rate of children who have a left-to-right shunt through a ventricular septal defect with pulmonic stenosis. Whether this lends support to the previously presented idea that a palliative procedure prepares the vascular bed for the corrective surgery remains to be seen.
doi_str_mv	10.1378/chest.44.4.428
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It seems apparent that those children undergoing a corrective operation with open-heart techniques who have previously had a palliative procedure have a mortality rate less than half those undergoing the same corrective open-heart operation, but without the previous palliative procedure. This lower mortality rate compares favorably with the operative mortality rate of children who have a left-to-right shunt through a ventricular septal defect with pulmonic stenosis. Whether this lends support to the previously presented idea that a palliative procedure prepares the vascular bed for the corrective surgery remains to be seen.</description><identifier>ISSN: 0096-0217</identifier><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 2589-3890</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.44.4.428</identifier><identifier>PMID: 14072746</identifier><language>eng</language><publisher>United States: American College of Chest Physicians</publisher><subject>Biometry ; Cardiac Surgical Procedures ; Child ; Humans ; Old Medline ; Palliative Care ; Statistics as Topic ; Tetralogy of Fallot ; Thoracic Surgery</subject><ispartof>Chest, 1963-10, Vol.44 (4), p.428-430</ispartof><rights>1963 The American College of Chest Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c336t-aba286815d8e07fd05a65d67f616221ad73adc84f658492719400a1a88ad97343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14072746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ROBINSON, SAUL J.</creatorcontrib><title>Experiences in the Surgical Treatment of Tetralogy of Fallot: A Comparison of Results with and without a Previous Palliative Operation</title><title>Chest</title><addtitle>Dis Chest</addtitle><description>The operative results on a group of children with tetralogy of Fallot treated by a variety of surgical methods has been presented. 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Whether this lends support to the previously presented idea that a palliative procedure prepares the vascular bed for the corrective surgery remains to be seen.</description><subject>Biometry</subject><subject>Cardiac Surgical Procedures</subject><subject>Child</subject><subject>Humans</subject><subject>Old Medline</subject><subject>Palliative Care</subject><subject>Statistics as Topic</subject><subject>Tetralogy of Fallot</subject><subject>Thoracic Surgery</subject><issn>0096-0217</issn><issn>0012-3692</issn><issn>2589-3890</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1963</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtv1DAUhS0EokNhyxJ5xS5Tv2I77KpRC5UqtYJhbbnxzcRVEg-2M6V_gN-N5yGVDboLX1vnnHv1GaGPlCwpV_qi7SHlpRDLUky_QgtW66biuiGv0YKQRlaEUXWG3qX0SEhdSyXeojMqiGJKyAX6c_V7C9HD1ELCfsK5B_xjjhvf2gGvI9g8wpRx6PAacrRD2DzvL9d2GEL-gi_xKoxbG30K0_79O6R5yAk_-dxjO7lDE-aMLb6PsPNhTvi-eL3Nfgf4rswuXZjeozedHRJ8OJ3n6Of11Xr1rbq9-3qzurytWs5lruyDZVpqWjsNRHWO1FbWTqpOUskYtU5x61otOllr0TBFG0GIpVZr6xrFBT9Hn4-52xh-zQWdGX1qYRjsBGU3ozmvlZasCJdHYRtDShE6s41-tPHZUGL25M2BvBHClGK6GD6dkueHEdyL_IT6JbH3m_7JRzBpLCSKnB-zHsMcJzv8k6iPBihAdh6iSe3ho1wxt9m44P-3zF-WcqWk</recordid><startdate>196310</startdate><enddate>196310</enddate><creator>ROBINSON, SAUL J.</creator><general>American College of Chest Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>196310</creationdate><title>Experiences in the Surgical Treatment of Tetralogy of Fallot: A Comparison of Results with and without a Previous Palliative Operation</title><author>ROBINSON, SAUL J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-aba286815d8e07fd05a65d67f616221ad73adc84f658492719400a1a88ad97343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1963</creationdate><topic>Biometry</topic><topic>Cardiac Surgical Procedures</topic><topic>Child</topic><topic>Humans</topic><topic>Old Medline</topic><topic>Palliative Care</topic><topic>Statistics as Topic</topic><topic>Tetralogy of Fallot</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROBINSON, SAUL J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROBINSON, SAUL J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experiences in the Surgical Treatment of Tetralogy of Fallot: A Comparison of Results with and without a Previous Palliative Operation</atitle><jtitle>Chest</jtitle><addtitle>Dis Chest</addtitle><date>1963-10</date><risdate>1963</risdate><volume>44</volume><issue>4</issue><spage>428</spage><epage>430</epage><pages>428-430</pages><issn>0096-0217</issn><issn>0012-3692</issn><eissn>2589-3890</eissn><eissn>1931-3543</eissn><abstract>The operative results on a group of children with tetralogy of Fallot treated by a variety of surgical methods has been presented. It seems apparent that those children undergoing a corrective operation with open-heart techniques who have previously had a palliative procedure have a mortality rate less than half those undergoing the same corrective open-heart operation, but without the previous palliative procedure. This lower mortality rate compares favorably with the operative mortality rate of children who have a left-to-right shunt through a ventricular septal defect with pulmonic stenosis. Whether this lends support to the previously presented idea that a palliative procedure prepares the vascular bed for the corrective surgery remains to be seen.</abstract><cop>United States</cop><pub>American College of Chest Physicians</pub><pmid>14072746</pmid><doi>10.1378/chest.44.4.428</doi><tpages>3</tpages></addata></record>
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source	MEDLINE; Alma/SFX Local Collection
subjects	Biometry Cardiac Surgical Procedures Child Humans Old Medline Palliative Care Statistics as Topic Tetralogy of Fallot Thoracic Surgery
title	Experiences in the Surgical Treatment of Tetralogy of Fallot: A Comparison of Results with and without a Previous Palliative Operation
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