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Creation of an Atrial Septal Defect Without Thoracotomy: A Palliative Approach to Complete Transposition of the Great Arteries
Abstract
Transposition of the great vessels (TGV) occurs in approximately 20% of children who die with congenital heart disease.1With rare exceptions, patients with this lesion die in the first 6 months of life (50% within the first month). Approximately 40% of patients with TGV have an otherwise normal heart. In recent years, various types of complete corrections for this lesion have been attempted. Mustard et al2has simplified these procedures and has reduced mortality to reasonable levels. Best results are obtained in children well beyond 6 months of age. Therefore, it is imperative to provide early palliation that is effective until the optimal age for complete correction and that does not interfere significantly with subsequent surgery. Creation of an interatrial communication seems the best available choice to suit these requirements. The Blalock-Hanlon technique,3or some modified version, is commonly used to remove a portion of the atrial
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Cited by
Feltes, T. F., Bacha, E., Beekman, R. H., Cheatham, J. P., Feinstein, J. A., Gomes, A. S., Hijazi, Z. M., Ing, F. F., de Moor, M., Morrow, W. R., et al. (2011) · Circulation · doi:10.1161/cir.0b013e31821b1f10 · Cited by 853
Transposition of the Great Arteries
Warnes, C. A. (2006) · Circulation · doi:10.1161/circulationaha.105.592352 · Cited by 708
Khairy, P., Landzberg, M. J., Gatzoulis, M. A., Mercier, L.-A., Fernandes, S. M., Côté, J.-M., Lavoie, J.-P., Fournier, A., Guerra, P. G., Frogoudaki, A., et al. (2006) · Circulation · doi:10.1161/circulationaha.106.622076 · Cited by 300
Petit, C. J., Rome, J. J., Wernovsky, G., Mason, S. E., Shera, D. M., Nicolson, S. C., Montenegro, L. M., Tabbutt, S., Zimmerman, R. A., & Licht, D. J. (2009) · Circulation · doi:10.1161/circulationaha.107.760819 · Cited by 282
McQuillen, P. S., Hamrick, S. E. G., Perez, M. J., Barkovich, A. J., Glidden, D. V., Karl, T. R., Teitel, D., & Miller, S. P. (2006) · Circulation · doi:10.1161/circulationaha.105.566752 · Cited by 253
Metadata
- Authors
- Rashkind, W. J.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1966-06-13
- Volume
- 196
- Issue
- 11
- Pages
- 991
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4294308096
- Cited by
- 710
- References
- 0
- FWCI
- 40.32
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Creation of an Atrial Septal Defect Without Thoracotomy: A Palliative Approach to Complete Transposition of the Great Arteries. https://app.cochat.ai/papers/10.1001/jama.1966.03100240125026
- The paper
- Rashkind, W. J. (1966). Creation of an Atrial Septal Defect Without Thoracotomy: A Palliative Approach to Complete Transposition of the Great Arteries. JAMA. https://doi.org/10.1001/jama.1966.03100240125026
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.