Now in its 4th edition, Kirklin/Barratt-Boyes Cardiac Surgery remains your indispensable source for definitive, state-of-the-art answers on every aspect of adult and pediatric cardiac surgery. This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures—including the latest alternate and minimally invasive surgical techniques—and presents the up-to-date clinical evidence you need to make effective management decisions.
1. Cover image - p. i 2. Title Page - p. i 3. Table of Contents - p. i 4. Copyright - p. iv 5. Contributors - p. v 6. Acknowledgments - p. vii 7. Preface to Fourth Edition - p. ix 8. Part I General Considerations - p. x 9. 1 Anatomy, Dimensions, and Terminology - p. 1 10. Cardiac Chambers and Major Vessels - p. 2 11. Atrial Septum - p. 11 12. Ventricular Septum - p. 11 13. Conduction System - p. 12 14. Cardiac Valves - p. 13 15. Coronary Arteries - p. 20 16. Dimensions of Normal Cardiac and Great Artery Pathways - p. 25 17. Dimensions of Normal Ventricles - p. 29 18. Terminology and Classification of Heart Disease - p. 30 19. 1A Morphogenesis - p. 33 20. 1B Normal Pathway Dimensions from Autopsy Specimens - p. 33 21. 1C Normal Pathway Dimensions from Cineangiography - p. 36 22. 1D Normal Pathway Dimensions from Two-Dimensional Echocardiography - p. 39 23. 1E Comparison of Pathway Dimensions from Different Measurement Modalities - p. 46 24. 1F Comparison of Methods for Normalizing the Dimensions of Pulmonary Arteries - p. 48 25. 1G Normal Ventricular Volume, Masses, and Dimensions from Different Measurement Modalities - p. 49 26. 1H Illustrative Models of Congenital Heart Disease - p. 61 27. References - p. 61 28. 2 Hypothermia, Circulatory Arrest, and Cardiopulmonary Bypass - p. 67 29. Section I Hypothermic Circulatory Arrest - p. 68 30. Section II Whole-Body Perfusion during Cardiopulmonary Bypass - p. 80 31. Section III Clinical Methodology of Cardiopulmonary Bypass - p. 103 32. Section IV Clinical Methodology of Hypothermic Circulatory Arrest and Its Alternatives - p. 115 33. References - p. 120 34. 3 Myocardial Management during Cardiac Surgery with Cardiopulmonary Bypass - p. 133 35. 4 Anesthesia for Cardiovascular Surgery - p. 163 36. 5 Postoperative Care - p. 189 37. Section I Subsystems during Early Convalescence after Cardiac Surgery - p. 191 38. Section II Special Considerations after Cardiac Surgery - p. 223 39. Section III General Care of Children and Adults - p. 228 40. Section IV General Care of Neonates and Infants - p. 229 41. Section V Automated Care in the Intensive Care Unit - p. 230 42. Section VI Body Surface Area - p. 231 43. 5A Protocol for Reducing Arterial Blood Pressure and Afterload - p. 232 44. 5B Standard Infusion Rates of Inotropic Agents - p. 232 45. 5C Protocol for Managing Some Aspects of Ventricular Electrical Instability - p. 233 46. 5D Protocols for Acute Management of Postoperative Atrial Fibrillation - p. 233 47. 5E Protocol for Rapid Atrial Pacing via Atrial Wires - p. 234 48. 5F Protocol for an Intubated Patient - p. 235 49. 5G Protocol for Oliguria - p. 236 50. 5H Protocol (Interim Measures) for a Serum K+ Level > 5.5 mEq · L−1 from Acute Renal Failure - p. 236 51. 5I Protocol for Seizures in Infants and Children - p. 237 52. 5J Protocol for Autotransfusion - p. 238 53. 5K Protocol for Intravenous Fluids - p. 238 54. 5L Protocol for Metabolic Acidosis - p. 239 55. 5M Protocol for Hyperthermia - p. 239 56. 5N Protocol for Infant Feeding - p. 240 57. References - p. 240 58. 6 Generating Knowledge from Information, Data, and Analyses - p. 251 59. Section I Generating Knowledge from Information, Data, and Analyses - p. 253 60. Section II Information - p. 279 61. Section III Data - p. 283 62. Section IV Analyses - p. 294 63. Section V Use of Knowledge - p. 330 64. Section VI Special Methods and Controversies - p. 336 65. References - p. 343 66. Part II Ischemic Heart Disease - p. 323 67. 7 Stenotic Arteriosclerotic Coronary Artery Disease - p. 353 68. Definition - p. 354 69. Historical Note - p. 354 70. Morphology - p. 355 71. Clinical Features and Diagnostic Criteria - p. 356 72. Natural History - p. 360 73. Technique of Operation - p. 366 74. Special Features of Postoperative Care - p. 387 75. Results - p. 388 76. Indications for Operation - p. 405 77. Special Situations and Controversies - p. 409 78. References - p. 414 79. 8 Left Ventricular Aneurysm - p. 429 80. 9 Postinfarction Ventricular Septal Defect - p. 446 81. 10 Mitral Regurgitation from Ischemic Heart Disease - p. 462 82. Part III Acquired Valvar Heart Disease - p. 471 83. 11 Mitral Valve Disease with or without Tricuspid Valve Disease - p. 473 84. Section I Mitral Valve Disease - p. 474 85. Section II Mitral Valve Surgery with Coexisting Tricuspid Valve Disease - p. 527 86. Section III Mitral Valve Surgery with Coexisting Ischemic Heart Disease - p. 529 87. References - p. 531 88. 12 Aortic Valve Disease - p. 541 89. Definition - p. 543 90. Historical Note - p. 543 91. Morphology - p. 544 92. Clinical Features and Diagnostic Criteria - p. 548 93. Natural History - p. 552 94. Technique of Operation - p. 554 95. Special Features of Postoperative Care - p. 590 96. Results - p. 590 97. Indications for Operation, Selection of Technique, and Choice of Device - p. 612 98. Special Situations and Controversies - p. 621 99. References - p. 630 100. 13 Combined Aortic and Mitral Valve Disease with or without Tricuspid Valve Disease - p. 644 101. 14 Tricuspid Valve Disease - p. 656 102. 15 Infective Endocarditis - p. 672 103. Part IV Other Cardiac Conditions - p. 697 104. 16 Cardiac Rhythm Disturbance - p. 699 105. Section I Bradycardia - p. 700 106. Section II Tachycardia - p. 708 107. Section III Wolff-Parkinson-White Syndrome - p. 709 108. Section IV Atrial Fibrillation and Flutter - p. 712 109. Section V Ventricular Tachycardia and Ventricular Fibrillation in Ischemic Heart Disease - p. 730 110. Section VI Intractable Ventricular Tachycardias - p. 732 111. References - p. 734 112. 17 Cardiac Trauma - p. 742 113. 18 Cardiac Tumor - p. 749 114. 19 Hypertrophic Obstructive Cardiomyopathy - p. 769 115. 20 Cardiomyopathy - p. 792 116. 21 Cardiac Transplantation - p. 809 117. Section I Cardiac Transplantation in Adults without Congenital Heart Disease - p. 810 118. Section II Cardiac Transplantation for Congenital Heart Disease and Pediatric Patients - p. 852 119. Section III Heart-Lung Transplantation - p. 861 120. Section IV Heterotopic Heart Transplantation - p. 863 121. References - p. 865 122. 22 Mechanical Circulatory Support - p. 873 123. 23 Pericardial Disease - p. 900 124. Part V Diseases of the Thoracic Arteries and Veins - p. 915 125. 24 Acute Traumatic Aortic Disruption - p. 917 126. 25 Acute Aortic Dissection - p. 941 127. 26 Chronic Thoracic and Thoracoabdominal Aortic Disease - p. 973 128. Definition - p. 974 129. Historical Note - p. 974 130. Morphology and Morphogenesis - p. 975 131. Clinical Features and Diagnostic Criteria - p. 978 132. Natural History - p. 983 133. Technique of Operation - p. 984 134. Special Features of Postoperative Care - p. 1007 135. Results - p. 1007 136. Indications for Operation - p. 1011 137. Special Situations and Controversies - p. 1012 138. References - p. 1017 139. 27 Diseases of the Pulmonary Arteries - p. 1025 140. 28 Acquired Diseases of the Systemic Veins - p. 1042 141. Part VI Congenital Heart Disease in the Adult - p. 1060 142. 29 Congenital Heart Disease in the Adult - p. 1061 143. Section I Overview - p. 1063 144. Section II Atrial Septal Defect - p. 1077 145. Section III Patent Foramen Ovale - p. 1079 146. Section IV Ventricular Septal Defect - p. 1080 147. Section V Atrioventricular Septal Defect - p. 1082 148. Section VI Patent Ductus Arteriosus - p. 1084 149. Section VII Bicuspid Aortic Valve - p. 1087 150. Section VIII Subaortic Stenosis - p. 1091 151. Section IX Supravalvar Aortic Stenosis - p. 1093 152. Section X Aortic Arch Obstructive Problems - p. 1095 153. Section XI Tetralogy of Fallot - p. 1101 154. Section XII Transposition of the Great Arteries - p. 1110 155. Section XIII Congenitally Corrected Transposition of the Great Arteries - p. 1117 156. Section XIV Ebstein Anomaly - p. 1119 157. Section XV Coronary Artery Problems Related to Congenital Heart Disease - p. 1123 158. Section XVI Single Ventricle - p. 1127 159. Section XVII Other Anomalies Rarely Requiring Surgery in the Adult - p. 1131 160. References - p. 1135 161. Part VII Congenital Heart Disease - p. 1148 162. 30 Atrial Septal Defect and Partial Anomalous Pulmonary Venous Connection - p. 1149 163. 31 Total Anomalous Pulmonary Venous Connection - p. 1182 164. 32 Cor Triatriatum - p. 1208 165. 33 Unroofed Coronary Sinus Syndrome - p. 1217 166. 34 Atrioventricular Septal Defect - p. 1227 167. Definition - p. 1228 168. Historical Note - p. 1228 169. Morphology - p. 1229 170. Clinical Features and Diagnostic Criteria - p. 1241 171. Natural History - p. 1244 172. Technique of Operation - p. 1250 173. Special Features of Postoperative Care - p. 1263 174. Results - p. 1263 175. Indications for Operation - p. 1266 176. Special Situations and Controversies - p. 1267 177. References - p. 1268 178. 35 Ventricular Septal Defect - p. 1274 179. Section I Primary Ventricular Septal Defect - p. 1275 180. Section II Ventricular Septal Defect and Aortic Regurgitation - p. 1308 181. Section III Straddling and Overriding Tricuspid (or Mitral) Valve - p. 1314 182. References - p. 1319 183. 36 Congenital Sinus of Valsalva Aneurysm and Aortico–Left Ventricular Tunnel - p. 1326 184. 37 Patent Ductus Arteriosus - p. 1342 185. 38 Ventricular Septal Defect with Pulmonary Stenosis or Atresia - p. 1359 186. Section I Tetralogy of Fallot with Pulmonary Stenosis - p. 1362 187. Section II Tetralogy of Fallot with Pulmonary Atresia - p. 1420 188. Section III Tetralogy of Fallot with Absent Pulmonary Valve - p. 1447 189. Section IV Tetralogy of Fallot with Flap Valve Ventricular Septal Defect - p. 1450 190. Section V Double-Chamber Right Ventricle (Low-Lying Infundibular Pulmonary Stenosis with or without Ventricular Septal Defect) - p. 1451 191. Section VI Other Forms of Infundibular or Valvar Pulmonary Stenosis and Ventricular Septal Defect - p. 1455 192. References - p. 1457 193. 39 Pulmonary Stenosis and Intact Ventricular Septum - p. 1468 194. 40 Pulmonary Atresia and Intact Ventricular Septum - p. 1487 195. 41 Tricuspid Atresia and Single-Ventricle Physiology - p. 1507 196. Section I Tricuspid Atresia and Single-Ventricle Physiology - p. 1509 197. Section II First-Stage Neonatal Palliation of Single-Ventricle Physiology - p. 1519 198. Section III Second-Stage Palliation - p. 1533 199. Section IV Third-Stage Palliation (Fontan Operation) - p. 1540 200. References - p. 1563 201. 42 Ebstein Anomaly - p. 1575 202. 43 Truncus Arteriosus - p. 1602 203. 44 Aortopulmonary Window - p. 1626 204. 45 Origin of the Right or Left Pulmonary Artery from the Ascending Aorta - p. 1634 205. 46 Congenital Anomalies of the Coronary Arteries - p. 1643 206. 47 Congenital Aortic Stenosis - p. 1672 207. Section I Congenital Valvar Aortic Stenosis - p. 1673 208. Section II Congential Discrete Subvalvar Aortic Stenosis - p. 1686 209. Section III Congenital Supravalvar Aortic Stenosis - p. 1698 210. References - p. 1710 211. 48 Coarctation of the Aorta and Interrupted Aortic Arch - p. 1717 212. Section I Coarctation of the Aorta - p. 1718 213. Section II Interrupted Aortic Arch - p. 1755 214. References - p. 1769 215. 49 Aortic Atresia and Other Forms of Hypoplastic Left Heart Physiology - p. 1780 216. 50 Congenital Mitral Valve Disease - p. 1813 217. 51 Vascular Ring and Sling - p. 1832 218. 52 Complete Transposition of the Great Arteries - p. 1855 219. Definition - p. 1856 220. Historical Note - p. 1856 221. Morphology and Morphogenesis - p. 1858 222. Clinical Features and Diagnostic Criteria - p. 1871 223. Natural History - p. 1874 224. Technique of Operation - p. 1878 225. Special Features of Postoperative Care - p. 1897 226. Results - p. 1897 227. Indications for Operation - p. 1911 228. Special Situations and Controversies - p. 1912 229. 52A Multivariable Risk Factor Equations for Death after Arterial Switch Operation for Simple Transposition of the Great Arteries and Transposition of the Great Arteries with Ventricular Septal Defect - p. 1917 230. 52B Multivariable Analysis of Risk Factors for Death after Atrial Switch Operation - p. 1919 231. 52C Multivariable Analysis of Risk Factors for Death after Rastelli Operation - p. 1920 232. References - p. 1920 233. 53 Double Outlet Right Ventricle - p. 1931 234. 54 Double Outlet Left Ventricle - p. 1962 235. 55 Congenitally Corrected Transposition of the Great Arteries and Other Forms of Atrioventricular Discordant Connection - p. 1971 236. 56 Double Inlet Ventricle and Atretic Atrioventricular Valve - p. 2008 237. 57 Anatomically Corrected Malposition of the Great Arteries - p. 2034 238. 58 Atrial Isomerism - p. 2040 239. Index - p. i1
Now in its 4th edition, Kirklin/Barratt-Boyes Cardiac Surgery remains your indispensable source for definitive, state-of-the-art answers on every aspect of adult and pediatric cardiac surgery. This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures—including the latest alternate and minimally invasive surgical techniques—and presents the up-to-date clinical evidence you need to make effective management decisions.
1. Cover image - p. i 2. Title Page - p. i 3. Table of Contents - p. i 4. Copyright - p. iv 5. Contributors - p. v 6. Acknowledgments - p. vii 7. Preface to Fourth Edition - p. ix 8. Part I General Considerations - p. x 9. 1 Anatomy, Dimensions, and Terminology - p. 1 10. Cardiac Chambers and Major Vessels - p. 2 11. Atrial Septum - p. 11 12. Ventricular Septum - p. 11 13. Conduction System - p. 12 14. Cardiac Valves - p. 13 15. Coronary Arteries - p. 20 16. Dimensions of Normal Cardiac and Great Artery Pathways - p. 25 17. Dimensions of Normal Ventricles - p. 29 18. Terminology and Classification of Heart Disease - p. 30 19. 1A Morphogenesis - p. 33 20. 1B Normal Pathway Dimensions from Autopsy Specimens - p. 33 21. 1C Normal Pathway Dimensions from Cineangiography - p. 36 22. 1D Normal Pathway Dimensions from Two-Dimensional Echocardiography - p. 39 23. 1E Comparison of Pathway Dimensions from Different Measurement Modalities - p. 46 24. 1F Comparison of Methods for Normalizing the Dimensions of Pulmonary Arteries - p. 48 25. 1G Normal Ventricular Volume, Masses, and Dimensions from Different Measurement Modalities - p. 49 26. 1H Illustrative Models of Congenital Heart Disease - p. 61 27. References - p. 61 28. 2 Hypothermia, Circulatory Arrest, and Cardiopulmonary Bypass - p. 67 29. Section I Hypothermic Circulatory Arrest - p. 68 30. Section II Whole-Body Perfusion during Cardiopulmonary Bypass - p. 80 31. Section III Clinical Methodology of Cardiopulmonary Bypass - p. 103 32. Section IV Clinical Methodology of Hypothermic Circulatory Arrest and Its Alternatives - p. 115 33. References - p. 120 34. 3 Myocardial Management during Cardiac Surgery with Cardiopulmonary Bypass - p. 133 35. 4 Anesthesia for Cardiovascular Surgery - p. 163 36. 5 Postoperative Care - p. 189 37. Section I Subsystems during Early Convalescence after Cardiac Surgery - p. 191 38. Section II Special Considerations after Cardiac Surgery - p. 223 39. Section III General Care of Children and Adults - p. 228 40. Section IV General Care of Neonates and Infants - p. 229 41. Section V Automated Care in the Intensive Care Unit - p. 230 42. Section VI Body Surface Area - p. 231 43. 5A Protocol for Reducing Arterial Blood Pressure and Afterload - p. 232 44. 5B Standard Infusion Rates of Inotropic Agents - p. 232 45. 5C Protocol for Managing Some Aspects of Ventricular Electrical Instability - p. 233 46. 5D Protocols for Acute Management of Postoperative Atrial Fibrillation - p. 233 47. 5E Protocol for Rapid Atrial Pacing via Atrial Wires - p. 234 48. 5F Protocol for an Intubated Patient - p. 235 49. 5G Protocol for Oliguria - p. 236 50. 5H Protocol (Interim Measures) for a Serum K+ Level > 5.5 mEq · L−1 from Acute Renal Failure - p. 236 51. 5I Protocol for Seizures in Infants and Children - p. 237 52. 5J Protocol for Autotransfusion - p. 238 53. 5K Protocol for Intravenous Fluids - p. 238 54. 5L Protocol for Metabolic Acidosis - p. 239 55. 5M Protocol for Hyperthermia - p. 239 56. 5N Protocol for Infant Feeding - p. 240 57. References - p. 240 58. 6 Generating Knowledge from Information, Data, and Analyses - p. 251 59. Section I Generating Knowledge from Information, Data, and Analyses - p. 253 60. Section II Information - p. 279 61. Section III Data - p. 283 62. Section IV Analyses - p. 294 63. Section V Use of Knowledge - p. 330 64. Section VI Special Methods and Controversies - p. 336 65. References - p. 343 66. Part II Ischemic Heart Disease - p. 323 67. 7 Stenotic Arteriosclerotic Coronary Artery Disease - p. 353 68. Definition - p. 354 69. Historical Note - p. 354 70. Morphology - p. 355 71. Clinical Features and Diagnostic Criteria - p. 356 72. Natural History - p. 360 73. Technique of Operation - p. 366 74. Special Features of Postoperative Care - p. 387 75. Results - p. 388 76. Indications for Operation - p. 405 77. Special Situations and Controversies - p. 409 78. References - p. 414 79. 8 Left Ventricular Aneurysm - p. 429 80. 9 Postinfarction Ventricular Septal Defect - p. 446 81. 10 Mitral Regurgitation from Ischemic Heart Disease - p. 462 82. Part III Acquired Valvar Heart Disease - p. 471 83. 11 Mitral Valve Disease with or without Tricuspid Valve Disease - p. 473 84. Section I Mitral Valve Disease - p. 474 85. Section II Mitral Valve Surgery with Coexisting Tricuspid Valve Disease - p. 527 86. Section III Mitral Valve Surgery with Coexisting Ischemic Heart Disease - p. 529 87. References - p. 531 88. 12 Aortic Valve Disease - p. 541 89. Definition - p. 543 90. Historical Note - p. 543 91. Morphology - p. 544 92. Clinical Features and Diagnostic Criteria - p. 548 93. Natural History - p. 552 94. Technique of Operation - p. 554 95. Special Features of Postoperative Care - p. 590 96. Results - p. 590 97. Indications for Operation, Selection of Technique, and Choice of Device - p. 612 98. Special Situations and Controversies - p. 621 99. References - p. 630 100. 13 Combined Aortic and Mitral Valve Disease with or without Tricuspid Valve Disease - p. 644 101. 14 Tricuspid Valve Disease - p. 656 102. 15 Infective Endocarditis - p. 672 103. Part IV Other Cardiac Conditions - p. 697 104. 16 Cardiac Rhythm Disturbance - p. 699 105. Section I Bradycardia - p. 700 106. Section II Tachycardia - p. 708 107. Section III Wolff-Parkinson-White Syndrome - p. 709 108. Section IV Atrial Fibrillation and Flutter - p. 712 109. Section V Ventricular Tachycardia and Ventricular Fibrillation in Ischemic Heart Disease - p. 730 110. Section VI Intractable Ventricular Tachycardias - p. 732 111. References - p. 734 112. 17 Cardiac Trauma - p. 742 113. 18 Cardiac Tumor - p. 749 114. 19 Hypertrophic Obstructive Cardiomyopathy - p. 769 115. 20 Cardiomyopathy - p. 792 116. 21 Cardiac Transplantation - p. 809 117. Section I Cardiac Transplantation in Adults without Congenital Heart Disease - p. 810 118. Section II Cardiac Transplantation for Congenital Heart Disease and Pediatric Patients - p. 852 119. Section III Heart-Lung Transplantation - p. 861 120. Section IV Heterotopic Heart Transplantation - p. 863 121. References - p. 865 122. 22 Mechanical Circulatory Support - p. 873 123. 23 Pericardial Disease - p. 900 124. Part V Diseases of the Thoracic Arteries and Veins - p. 915 125. 24 Acute Traumatic Aortic Disruption - p. 917 126. 25 Acute Aortic Dissection - p. 941 127. 26 Chronic Thoracic and Thoracoabdominal Aortic Disease - p. 973 128. Definition - p. 974 129. Historical Note - p. 974 130. Morphology and Morphogenesis - p. 975 131. Clinical Features and Diagnostic Criteria - p. 978 132. Natural History - p. 983 133. Technique of Operation - p. 984 134. Special Features of Postoperative Care - p. 1007 135. Results - p. 1007 136. Indications for Operation - p. 1011 137. Special Situations and Controversies - p. 1012 138. References - p. 1017 139. 27 Diseases of the Pulmonary Arteries - p. 1025 140. 28 Acquired Diseases of the Systemic Veins - p. 1042 141. Part VI Congenital Heart Disease in the Adult - p. 1060 142. 29 Congenital Heart Disease in the Adult - p. 1061 143. Section I Overview - p. 1063 144. Section II Atrial Septal Defect - p. 1077 145. Section III Patent Foramen Ovale - p. 1079 146. Section IV Ventricular Septal Defect - p. 1080 147. Section V Atrioventricular Septal Defect - p. 1082 148. Section VI Patent Ductus Arteriosus - p. 1084 149. Section VII Bicuspid Aortic Valve - p. 1087 150. Section VIII Subaortic Stenosis - p. 1091 151. Section IX Supravalvar Aortic Stenosis - p. 1093 152. Section X Aortic Arch Obstructive Problems - p. 1095 153. Section XI Tetralogy of Fallot - p. 1101 154. Section XII Transposition of the Great Arteries - p. 1110 155. Section XIII Congenitally Corrected Transposition of the Great Arteries - p. 1117 156. Section XIV Ebstein Anomaly - p. 1119 157. Section XV Coronary Artery Problems Related to Congenital Heart Disease - p. 1123 158. Section XVI Single Ventricle - p. 1127 159. Section XVII Other Anomalies Rarely Requiring Surgery in the Adult - p. 1131 160. References - p. 1135 161. Part VII Congenital Heart Disease - p. 1148 162. 30 Atrial Septal Defect and Partial Anomalous Pulmonary Venous Connection - p. 1149 163. 31 Total Anomalous Pulmonary Venous Connection - p. 1182 164. 32 Cor Triatriatum - p. 1208 165. 33 Unroofed Coronary Sinus Syndrome - p. 1217 166. 34 Atrioventricular Septal Defect - p. 1227 167. Definition - p. 1228 168. Historical Note - p. 1228 169. Morphology - p. 1229 170. Clinical Features and Diagnostic Criteria - p. 1241 171. Natural History - p. 1244 172. Technique of Operation - p. 1250 173. Special Features of Postoperative Care - p. 1263 174. Results - p. 1263 175. Indications for Operation - p. 1266 176. Special Situations and Controversies - p. 1267 177. References - p. 1268 178. 35 Ventricular Septal Defect - p. 1274 179. Section I Primary Ventricular Septal Defect - p. 1275 180. Section II Ventricular Septal Defect and Aortic Regurgitation - p. 1308 181. Section III Straddling and Overriding Tricuspid (or Mitral) Valve - p. 1314 182. References - p. 1319 183. 36 Congenital Sinus of Valsalva Aneurysm and Aortico–Left Ventricular Tunnel - p. 1326 184. 37 Patent Ductus Arteriosus - p. 1342 185. 38 Ventricular Septal Defect with Pulmonary Stenosis or Atresia - p. 1359 186. Section I Tetralogy of Fallot with Pulmonary Stenosis - p. 1362 187. Section II Tetralogy of Fallot with Pulmonary Atresia - p. 1420 188. Section III Tetralogy of Fallot with Absent Pulmonary Valve - p. 1447 189. Section IV Tetralogy of Fallot with Flap Valve Ventricular Septal Defect - p. 1450 190. Section V Double-Chamber Right Ventricle (Low-Lying Infundibular Pulmonary Stenosis with or without Ventricular Septal Defect) - p. 1451 191. Section VI Other Forms of Infundibular or Valvar Pulmonary Stenosis and Ventricular Septal Defect - p. 1455 192. References - p. 1457 193. 39 Pulmonary Stenosis and Intact Ventricular Septum - p. 1468 194. 40 Pulmonary Atresia and Intact Ventricular Septum - p. 1487 195. 41 Tricuspid Atresia and Single-Ventricle Physiology - p. 1507 196. Section I Tricuspid Atresia and Single-Ventricle Physiology - p. 1509 197. Section II First-Stage Neonatal Palliation of Single-Ventricle Physiology - p. 1519 198. Section III Second-Stage Palliation - p. 1533 199. Section IV Third-Stage Palliation (Fontan Operation) - p. 1540 200. References - p. 1563 201. 42 Ebstein Anomaly - p. 1575 202. 43 Truncus Arteriosus - p. 1602 203. 44 Aortopulmonary Window - p. 1626 204. 45 Origin of the Right or Left Pulmonary Artery from the Ascending Aorta - p. 1634 205. 46 Congenital Anomalies of the Coronary Arteries - p. 1643 206. 47 Congenital Aortic Stenosis - p. 1672 207. Section I Congenital Valvar Aortic Stenosis - p. 1673 208. Section II Congential Discrete Subvalvar Aortic Stenosis - p. 1686 209. Section III Congenital Supravalvar Aortic Stenosis - p. 1698 210. References - p. 1710 211. 48 Coarctation of the Aorta and Interrupted Aortic Arch - p. 1717 212. Section I Coarctation of the Aorta - p. 1718 213. Section II Interrupted Aortic Arch - p. 1755 214. References - p. 1769 215. 49 Aortic Atresia and Other Forms of Hypoplastic Left Heart Physiology - p. 1780 216. 50 Congenital Mitral Valve Disease - p. 1813 217. 51 Vascular Ring and Sling - p. 1832 218. 52 Complete Transposition of the Great Arteries - p. 1855 219. Definition - p. 1856 220. Historical Note - p. 1856 221. Morphology and Morphogenesis - p. 1858 222. Clinical Features and Diagnostic Criteria - p. 1871 223. Natural History - p. 1874 224. Technique of Operation - p. 1878 225. Special Features of Postoperative Care - p. 1897 226. Results - p. 1897 227. Indications for Operation - p. 1911 228. Special Situations and Controversies - p. 1912 229. 52A Multivariable Risk Factor Equations for Death after Arterial Switch Operation for Simple Transposition of the Great Arteries and Transposition of the Great Arteries with Ventricular Septal Defect - p. 1917 230. 52B Multivariable Analysis of Risk Factors for Death after Atrial Switch Operation - p. 1919 231. 52C Multivariable Analysis of Risk Factors for Death after Rastelli Operation - p. 1920 232. References - p. 1920 233. 53 Double Outlet Right Ventricle - p. 1931 234. 54 Double Outlet Left Ventricle - p. 1962 235. 55 Congenitally Corrected Transposition of the Great Arteries and Other Forms of Atrioventricular Discordant Connection - p. 1971 236. 56 Double Inlet Ventricle and Atretic Atrioventricular Valve - p. 2008 237. 57 Anatomically Corrected Malposition of the Great Arteries - p. 2034 238. 58 Atrial Isomerism - p. 2040 239. Index - p. i1