THE SURGICAL TREATMENT OF MALFORMATIONS OF THE HEART

TLDR

Pulmonary stenosis and atresia had no satisfactory treatment, and a blue baby with a malformed heart was deemed beyond surgical aid. The authors performed an operation aimed at redirecting circulation to reduce cyanosis and disability despite gross heart abnormalities. Three children with severe pulmonary stenosis were operated on over three months, each showing significant benefit; cyanosis diminished or disappeared in the second and third cases, and overall condition improved, making the results encouraging. It is.

Abstract

Heretofore there has been no satisfactory treatment for pulmonary stenosis and pulmonary atresia. A "blue" baby with a malformed heart was considered beyond the reach of surgical aid. During the past three months we have operated on 3 children with severe degrees of pulmonary stenosis and each of the patients appears to be greatly benefited. In the second and third cases, in which there was deep persistent cyanosis, the cyanosis has greatly diminished or has disappeared and the general condition of the patients is proportionally improved. The results are sufficiently encouraging to warrant an early report. The operation here reported and the studies leading thereto were undertaken with the conviction that even though the structure of the heart was grossly abnormal, in many instances it might be possible to alter the course of the circulation in such a manner as to lessen the cyanosis and the 'resultant disability. It is