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1.  Chest Reconstruction in Thoracic Dystrophy 
Archives of Disease in Childhood  1971;46(250):833-837.
Enlargement of the thoracic cage by splitting of the sternum and fixation with bone grafts proved a life-saving measure in a child with thoracic dystrophy and severe respiratory failure whose condition was deteriorating in spite of artificial ventilation. Supported ventilation has, however, remained necessary chiefly because of difficulty in achieving adequate stability of the thoracic cage.
PMCID: PMC1647949  PMID: 4942944
2.  Primary cardiac tumours in childhood 
Archives of Disease in Childhood  1971;46(248):508-514.
Eight children with cardiac tumours are described. Six were diagnosed as space-occupying lesions after they had been investigated without incident; all six were operated upon and two survived. The need to investigate and treat these tumours surgically is emphasized.
PMCID: PMC1647742  PMID: 5565462
3.  Patent ductus arteriosus in infants and children1 
Thorax  1971;26(2):137-144.
Nine hundred and thirty-six consecutive cases of closure of a patent ductus arteriosus in infants and children are reported. Among 789 without any other cardiac anomalies there were 11 deaths, seven of these with severe congenital anomalies other than cardiovascular. There was one incomplete closure. The deaths in this series were mostly associated with additional congenital cardiac anomalies. Forty-eight of the 59 who died had additional cardiac anomalies. Forty-seven of the deaths were in infants. For 691 patients over the age of 1 year the hospital mortality rate was less than 0·5%.
Ligation of the ductus using two ligatures of thick plaited silk (1·2 mm diameter) was the technique used in 99% of these cases. There were four cases of recanalization or inadequate ligation but all four survived. This technique seems an acceptable one for the closure of a patent ductus arteriosus.
PMCID: PMC1019116  PMID: 5576528
4.  Vascular anomalies compressing the oesophagus and trachea 
Thorax  1969;24(3):295-306.
Vascular rings formed by anomalies of major arteries can compress the trachea and oesophagus so much as to cause respiratory distress and dysphagia. Twenty-nine patients with this condition are reviewed and discussed in five groups. The symptoms and signs are noted. Radiological examination by barium swallow is the most useful diagnostic aid. Symptoms can only be relieved by operation. The trachea is often deformed at the site of the constricting ring. Only infrequently is there immediate relief from the pre-operative symptoms. Two babies were successfully treated for an aberrant left pulmonary artery.
PMCID: PMC471970  PMID: 5810371
5.  Surgical management of tricuspid atresia 
Thorax  1969;24(2):239-245.
Tricuspid atresia is one of the less common forms of congenital heart disease. The results of palliative surgery in 72 children are presented. Cardiac catheterization and angiocardiography are essential for precise definition of the anomaly. There is a 20% incidence of obstruction at atrial septal level. Closed atrial septostomy is of value in such cases in infancy. In most there is a reduced pulmonary blood flow. This may be increased by anastomosis of either the superior vena cava or a systemic artery to the pulmonary artery. The caval anastomosis, while having theoretical advantages, is not always possible, especially in small infants. In this series systemic arterial shunts have given at least comparable results, suggesting that both techniques are of value with this anomaly.
PMCID: PMC471945  PMID: 5821626

Results 1-7 (7)