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(Chest. 1966;50:87-92.)
© 1966 American College of Chest Physicians

The Present Status of the Caval-Pulmonary Anastomosis

W. Glenn Young Jr. M.D.1 and Robert J. Flemma M.D.1

1 Division of Thoracic Surgery, Duke University Medical Center

Experimental and clinical experience indicates that an anastomosis between the superior vena cava and the right pulmonary artery is a rational physiologic approach to increasing pulmonary blood flow in certain types of congenital heart disease. This operation appears at the present time to be the procedure of choice in patients with tricuspid atresia. It will afford significant pallitation in highly selected cases of tetralogy of Fallot, otherwise unsuitable for complete correction. Palliation has also been obtained in more complex anomalies, particularly three associated with pulmonary stenosis and a common ventricle or ventricular septal defect.






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Copyright © 1966 by the American College of Chest Physicians.