Aprotinin: Effect on “Re-Do” Surgery
The present early surgical treatment of congenital cardiac disease by palliative surgery in infancy entails the need for re-operation in later years. This is especially true of surgical treatment of congenital aortic stenosis and pulmonary atresia. The former condition can be palliated by aortic valvotomy — using inflow occlusion techniques — and the latter by modified Blalock shunt. In each case the infant is palliated to allow growth and thus a definitive repair of the diseased outflow tract.
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