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Blalock–Hanlon procedure

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Surgical procedure involving the heart Medical intervention
Blalock–Hanlon procedure
ICD-9-CM35.42
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The Blalock–Hanlon procedure was created by Alfred Blalock and C. Rollins Hanlon. It was described in 1950. Alfred Blalock was an American surgeon most known for his work on the Blue Baby syndrome. C. Rollins Hanlon was also an American surgeon but was best known for his work in cardiology. The procedure that these two men created, known as the Blalock–Hanlon procedure, was a new concept termed atrial septectomy. This procedure had been experimented on the right atrium of dogs before Dr. Blalock and Dr. Hanlon had performed it on humans.

It involves the intentional creation of a septal defect in order to alter the flow of oxygenated blood. It was devised as a palliative correction for transposition of the great vessels.

The Blalock–Hanlon procedure was a cardiothoracic procedure created in the 1950s. The Blalock–Hanlon procedure was created to enhance intracardiac combinations. A majority of the surgeries using this procedure were performed in pediatrics on infants ranging from one day to five months of age. Of all the children who had this surgery, only one had to undergo a second operation to repair damage not fixed during the Blalock–Hanlon procedure. According to Behrendt, Orringer, and Stern, there were only ten early deaths out of the forty-eight children the operation was performed on. The deaths were of children that were less than one month old due to extensive measures taken during the operation.

The procedure also had a relatively high mortality rate of only twenty-one percent while it was performed however, because of the excessive mortality rate it is no longer used in today's medical society. This procedure was a combination of two circulations (Pulmonary and Systematic). Due to the intracardiac mixing, the procedure can cause postoperative arrhythmias, cerebral thrombosis, adhesions develops in the pericardial space, and many infants will face death between the septectomy.

References

  1. Catherine A. Neill; Edward B. Clark (28 February 1995). The developing heart: a 'history' of pediatric cardiology. Springer. pp. 61–. ISBN 978-0-7923-3375-3. Retrieved 21 June 2011.
  2. Cooper, David Y. (2000). "Blalock, Alfred". American National Biography. Oxford University Press. doi:10.1093/anb/9780198606697.article.1200085.
  3. Stoney, William S. (2008). Pioneers of cardiac surgery (1st ed.). Nashville: Vanderbilt University Press. ISBN 978-0-8265-9243-9. OCLC 823170308.
  4. ^ Konstantinov, Igor E; Alexi-Meskishvili, Vladimir V; Williams, William G; Freedom, Robert M; Van Praagh, Richard (June 2004). "Atrial switch operation: past, present, and future". The Annals of Thoracic Surgery. 77 (6): 2250–2258. doi:10.1016/j.athoracsur.2003.10.018.
  5. ^ Behrendt, Douglas M.; Kirsh, Marvin M.; Orringer, Mark B.; Perry, Burton; Sigmann, Joan; Stern, Aaron; Sloan, Herbert (October 1975). "The Blalock-Hanlon Procedure" (PDF). The Annals of Thoracic Surgery. 20 (4): 424–432. doi:10.1016/S0003-4975(10)64240-3.
  6. Cohen, David J.; Chopra, Paramjeet S. (October 1987). "The Blalock-Hanlon Operation: An Anachronism?" (PDF). The Annals of Thoracic Surgery. 44 (4): 407–410. doi:10.1016/S0003-4975(10)63802-7.
Tests and procedures involving the heart
Surgery
Heart valves
and septa
production of septal defect in heart
enlargement of existing septal defect
Atrial septostomy
Balloon septostomy
creation of septal defect in heart
Blalock–Hanlon procedure
shunt from heart chamber to blood vessel
atrium to pulmonary artery
Fontan procedure
left ventricle to aorta
Rastelli procedure
right ventricle to pulmonary artery
Sano shunt
compound procedures
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Arterial switch operation
Mustard procedure
Senning procedure
for univentricular defect
Norwood procedure
Kawashima procedure
shunt from blood vessel to blood vessel
systemic circulation to pulmonary artery shunt
Blalock–Taussig shunt
SVC to the right PA
Glenn procedure
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