SURGICAL CORRECTION OF TETRALOGY OF FALLOT

Abstract
On Friday, Sept. 13, 1946, the first aortic-pulmonary anastomosis was performed at the Children's Memorial Hospital for relief of cyanosis due to tetralogy of Fallot.1This operation varies from that originally devised by Blalock and Taussig2in 1945 in that blood is shunted into the pulmonary circulation directly from the aorta instead of by means of the subclavian artery. The principle of each operation is the same. "What has happened to the children who have had a shunt operation for Fallot's tetralogy?" is frequently asked. To obtain a tentative answer to this question we have made follow-up studies of the first 100 consecutive patients operated upon at the Children's Memorial Hospital. We have included all patients with a diagnosis of tetralogy of Fallot upon whom some form of anastomosis could be performed. We have excluded those who, because of tiny or absent pulmonary arteries, had exploratory operations only.

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