{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T16:10:49Z","timestamp":1782835849016,"version":"3.54.5"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1971,4]]},"abstract":"<jats:p>A side-to-side anastomosis between the ascending aorta and the right pulmonary artery was created in 80 infants (less than 1 year of age) and in 61 older children with a variety of cyanotic cardiac abnormalities in which there is pulmonary stenosis or atresia. Seventy-one per cent of the infant group and 90% of patients over 1 year of age were long-term survivors (up to 6 years).<\/jats:p>\n          <jats:p>Tetralogy of Fallot was the most commonly encountered anomaly in all 141 patients (66%); transposition of the great vessels and pulmonary stenosis occurred in 18%; and tricuspid atresia with pulmonary stenosis in 10%.<\/jats:p>\n          <jats:p>The presence of an excessively large shunt anastomosis (55% of deaths) and additional (unrecognized) other anomalies (26%) were major causes of postoperative deaths.<\/jats:p>\n          <jats:p>In patients in whom a systemic-pulmonary artery anastomosis is required, this operation is the procedure of choice in infants under 1 year of age. It is also of value in older patients if a Blalock-Taussig shunt cannot be performed.<\/jats:p>","DOI":"10.1161\/01.cir.43.4.580","type":"journal-article","created":{"date-parts":[[2012,6,11]],"date-time":"2012-06-11T23:56:43Z","timestamp":1339459003000},"page":"580-584","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":29,"title":["Ascending Aorta-Right Pulmonary Artery Shunt in Infants and Older Patients with Certain Types of Cyanotic Congenital Heart Disease"],"prefix":"10.1161","volume":"43","author":[{"given":"WILLIAM F.","family":"BERNHARD","sequence":"first","affiliation":[{"name":"From the Departments of Cardiovascular Surgery and Cardiology, Children's Hospital Medical Center and the Department of Surgery, Harvard Medical School."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JIMMY E.","family":"JONES","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiovascular Surgery and Cardiology, Children's Hospital Medical Center and the Department of Surgery, Harvard Medical School."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAVID Z.","family":"FRIEDBERG","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiovascular Surgery and Cardiology, Children's Hospital Medical Center and the Department of Surgery, Harvard Medical School."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. BERT","family":"LITWIN","sequence":"additional","affiliation":[{"name":"From the Departments of Cardiovascular Surgery and Cardiology, Children's Hospital Medical Center and the Department of Surgery, Harvard Medical School."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.CIR.43.4.580","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T14:03:14Z","timestamp":1715522594000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.43.4.580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1971,4]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1971,4]]}},"alternative-id":["10.1161\/01.CIR.43.4.580"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.43.4.580","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[1971,4]]},"assertion":[{"value":"1970-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1970-12-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1971-04-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}