CTSN - Palliative Operations Selected References

Palliative Operations References
Selected Articles
Horowitz MD, Culpepper WS 3d, Williams LC3d, Sundgaard-Riise K, Ochsner JL. Pulmonary artery banding: analysis of a 25-year experience. Annals of Thoracic Surgery 1989 48(3):444-50.

This long-term series reports results and discusses indications, including excessive pulmonary flow, single ventricle, tricuspid atresia, multiple ventricular septal defects, and coarctation with VSD.

Ullom RL, Sade RM, Crawford FA Jr, Ross BA, Spinale F. The Blalock-Taussig shunt in infants: standard vs. modified. Annals of Thoracic Surgery 1987 44(5):539-43.

Two patient groups were compared and the modified shunt demonstrated the following advantages: increased pulmonary artery growth, less arterial distortion, and decreased incidence of shunt failure.

Arciniegas E, Farooki ZQ, Hakimi M, Perry BL, Green EW. Classic shunting operations for congenital cyanotic heart disease. Journal of Thoracic and Cardiovascular Surgery 1982 84(1):88-96.

This series of nearly 300 patients compares results between BT shunts, Waterston shunts, and Potts shunts. The BT shunt group had lower mortality and lower morbidity.

Park SC, Neches WH, Mullins CE, Girod DA, Olley PM, Falkowski G, Garibjan VA, Mathews RA, Fricker FJ, Beerman LB, Lenox CC, Zuberbuhler JR. Blade atrial septostomy: collaborative study. Circulation 1982 66(2):258-66.

A multicenter trial of 52 patients had a single death and low complication rate. Blade septostomy is an effective palliative procedure.

Sources for further reading
Textbook Chapters
Chapter 63: Palliative Procedures in Cyanotic Congenital Heart Disease and chapter 64: Pulmonary Artery Banding. Glenn's Thoracic and Cardiovascular Surgery (Baue, Geha, Hammond, Laks, and Naunheim), 6th ed., 1073-1094.

Chapter 8: Palliative Operations. Pediatric Cardiac Surgery (Mavroudis and Backer), 2nd ed., 104-114.

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