Transposition of the great arteries 25 years after Rashkind balloon septostomy : International symposium : Papers

Front Matter....Pages I-IX Bill Rashkind’s contribution to pediatric cardiology....Pages 1-4 The impact of Dr. Rashkind on the development of interventional cardiology....Pages 5-9 Prenatal pathogenesis of the transposition of great arteries....Pages 11-27 Development of coronary arteries in transposition of the great arteries....Pages 29-37 Transposition of the great arteries: advantages and results of prospective fetal detection. Experience from 1983–1990....Pages 39-48 The perinatal circulation and aortopulmonary transposition....Pages 49-57 Balloon atrial septostomy: The Rashkind procedure (1965–1990) — historical and technical aspects....Pages 59-71 Role of prostaglandin infusion prior to surgery in complete transposition of the great arteries....Pages 73-78 The natural history of transposition after balloon septostomy and before surgical repair....Pages 79-82 The natural history of the patient with transposition of the great arteries before atrial septostomy....Pages 83-86 The pulmonary circulation in transposition of the great arteries....Pages 87-95 Cineangiographic diagnosis of coronary artery anatomy in transposition of the great arteries and double outlet right ventricle: Significance of aortic intramural coronary arteries....Pages 97-112 Mustard operation for transposition: Historical aspects and results....Pages 113-118 Long-term results after atrial repair for transposition of the great arteries....Pages 119-124 The “rapid two-stage” arterial switch operation....Pages 125-127 Anatomic repair for complex transposition....Pages 129-135 Re-operations after surgery for transposition of the great arteries....Pages 137-144 Systolic and diastolic function after atrial repair of simple transposition of the great arteries....Pages 145-150 P 31 MR spectroscopy of right-ventricular myocardium after atrial repair for transposition of the great arteries....Pages 151-155 Supra pulmonary stenosis after arterial switch operation for transposition of the great arteries....Pages 157-162 The role of myocardial perfusion scintigraphy and echocardiographic wall-motion analysis in the postoperative assessment of patients after the arterial-switch operation....Pages 163-171 Back Matter....Pages 173-173 The international symposium on transposition of the great arteries was held in Munich on May 3-5, 1991. It was organized by the German Heart Center Muni eh with two aims: firstly, to commemorate the 25th anniversary of Dr. Rashkind's publication: "Creation of an atrial septal defect without thoracotomy" (which appeared in 1966 in the Journal of the American Medical Association), and to honor this great pediatric cardiologist, who was one the pioneers of interventional catheterization. secondly, to give an overview of current medical knowledge about the pre- and postnatal diagnosis, medical and surgical treatment, and postoperative evalua tion of transposition of the great arteries. Fig. 1. Dr. Rashkind in his Iabaratory checking his balloon catheter V This symposium brought tagether embryologists, morphologists, experts in fetal cardiology, pediatric cardiologists, and pediatric cardiac surgeons from 10 different countries. Thus, we were able to describe the current state-of-the-art of pre- and postnatal management and the surgical treatment of this second most common con genital cyanotic anomaly of the heart. Dr. Rashkind's approach to create an atrial septal defect in the setting of com plete transposition of the great arteries dramatically changed the natural history of this cyanotic heart defect, which carried a 90% neonatal mortality before this effec tive palliation became available This book gives a complete and up-to-date overview of current medical knowledge about the pre- and postnatal diagnosis, medical and surgical treatment, and postoperative evaluation of transposition of the great arteries. It also gives a historical review of the most important developments in pediatric cardiology over the past 25 years, since Dr. Rashkind created an atrial septal defect to treat complete transposition of the great arteries, and dramatically changed the natural course of this cyanotic heart defect. Also covered are efforts for prenatal echocardiographic diagnosis and neonatal surgical repair as attempts to further reduce the present, already low neonatal mortality An overview of current medical knowledge of pre- and post-natal diagnosis, the medical and surgical treatment and the post-operative evaluation of the great arteries. It also offers an historical perspective of the 25 years since Rashkind's atrial septal defect transposition technique.