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J Thorac Cardiovasc Surg 1997;114:1123
© 1997 Mosby, Inc.

LETTERS TO THE EDITOR

Bidirectional inferior vena cava–pulmonary artery shunt

Department of Surgery
Division of Pediatric Surgery
The Johns Hopkins Hospital
Baltimore, MD 21287-3716
12/8/83065

To the Editor:

It is always interesting to me to see how a new idea has its birth from several centers about the same time. This concept was brought into focus for me by Dr. Francis Robicsek of Charlotte, when he forwarded to me a letter to the Editor for The Journal of Thoracic and Cardiovascular Surgery (1995;109:817) in the discussion of bidirectional cavopulmonary artery shunts. This letter was from Dr. Azzolina, an Italian surgeon, and discussed the early development of this procedure. Dr. Robicsek remembered my article from 1964, which I believe was probably the first experimental evidence that total bypass of the superior vena cava could be carried out into both lungs. We were not using open heart techniques in dogs very frequently then. I am attaching an illustration from the article that we presented at the Surgical Forum that year (Fig. 1). In the continuing discussion about this concept, I thought that might be of further interest.

View larger version (100K): [in this window] [in a new window]   Fig. 1. Diagram of anatomical relationship in tricuspid atresia and the eventual hemodynamics after total by-pass of superior vena cava into both pulmonary arteries. (From Surg Forum 1964;15:264. Reprinted with permission.)

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This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): J. Alex Haller, Jr. Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Haller, J. A. Search for Related Content PubMed PubMed Citation Articles by Haller, J. A., Jr.