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J Thorac Cardiovasc Surg 2005;129:1452-1453
© 2005 The American Association for Thoracic Surgery

Brief Communication

Long-term survival of a patient with tetralogy of Fallot after intracardiac palliation in the pre-pump era

Takahiro Sawada, MDa,*, Takeshi Miyairi, MDa, Tadashi Kitamura, MDa, Ikuo Nakai, MDa, Haruaki Hino, MDa, Sumio Miura, MDa, Ikutaro Kigawa, MDa, Sachito Fukuda, MDa, Akihiko Sekiguchi, MDb

a Division of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
b Division of Cardiovascular Surgery, National Center for Child Health and Development, Tokyo, Japan.

Received for publication November 27, 2004; accepted for publication December 7, 2004.

* Address for reprints: Takahiro Sawada, Division of Cardiovascular Surgery, Mitsui Memorial Hospital, Kanda-Izumicho 1, Kanda Izumi-cho, Chiyoda-ku, Tokyo, Japan (Email: takazawa@mitsuihosp.or.jp).

The first 20% of the full text of this article appears below.


Figure 1
Fukuda, Miyairi, Sawada, Kigawa (front row, left to right); Kitamura, Miura, Nakai, Hino (back row, left to right)


The first successful intracardiac surgery with cardiopulmonary bypass (CPB) was performed by John H. Gibbon1 on May 6, 1953, in a patient with an atrial septal defect. The first intracardiac repair of tetralogy of Fallot (TOF) was performed by C. Walton Lillehei2 on August 31, 1954, with the use of cross-circulation. In Japan, the first cardiac surgery with CPB was a total correction of TOF performed by H. Manabe3 on April 18, 1956. We report the case of a successful direct-vision intracardiac palliation of TOF in the pre-pump era in which the patient survived for half a century.

Clinical Summary

On May 13, 1955, a 16-year-old girl with TOF underwent palliative surgery with selective cerebral hypothermia (SCH). Two cannulas were inserted into the right common carotid artery, 1 of which was inserted downward to aspirate arterial blood out of the body. The blood collected was cooled and then delivered to . . . [Full Text of this Article]






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