[Surgical management of Fallot's syndrome in young children (author's transl)]. / Tratamiento quirúrgico del síndrome de Fallot en el lactante

The authors report the results in the surgical management of 232 children under two years of age suffering from syndrome of Fallot. Surgical techniques are described, and Waterston's right pulmonary artery to ascending aorta anastomosis advised. The problem of right lung overflow after this operation, its causes and prevention are commented upon. Analysis is made of indications for complete correction under extracorporeal circulation with and without deep hypothermia.

[Total transposition of the great vessels: Surgical treatment]. / Transposición completa de los grandes vasos: tratamiento quirúrgico

One hundred nine cases of complete transposition of great vessels alone or associated to other abnormalities are presented. In 91 cases a palliative treatment is given and in 18 cases there is a total correction done, depending upon the technique. Surgical indication and the technique used in every case is commented, making special reference to transpositions with ductus arteriosus or associated to coarctation of the aorta. In the 18 cases where we have done a total correction, we comment the surgical procedure of one of them who had a subpulmonary stenosis of the fibromuscular type, which we resolved through left ventriculotomy done on the apex of the ventricle and resecting the stenosis with an electroscalpel, which is a technique we have devised.