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Congenital Heart Surgery: Current Techniques and Controversies

Arch Surg. 1985;120(11):1325. doi:10.1001/archsurg.1985.01390350101027.
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This is a collection of papers from a conference held at the University of Maryland, Baltimore, that highlights major controversies in the surgical management of seven common congenital heart defects. An additional section concerns techniques of profusion and hypothermia.

Both sides of controversial issues are discussed by authorities. The section on transposition of the great arteries includes a detailed description of the technique and results of the Mustard procedure by Trusler and the advantage of the Senning procedure by Brom, and Yacoub tells why he abandoned the baffle procedure and went to anatomic correction.

Ebert presents his excellent results on primary repair of truncus arteriosus and stresses the importance of early operation, while the child is in reasonable condition.

The section on the repair of an atrioventricular septal defect by Carpentier, Danielson, and Bjork presents both sides of the use of a single vs two-patch technique.

Perhaps the most interesting


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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