Summary
The coexistence of the Taussig-Bing anomaly and coarctation of the aorta is a highly complex situation carrying a dismal prognosis. Through our experience and a review, we have observed that neonates requiring coarctation repair, pulmonary artery banding, and patent ductus ligation are at high risk of expiring before reaching an age at which a difficult total repair is feasible. It appears that patients presenting beyond the neonatal period have a better chance of surviving an initial surgical procedure and the definitive repair. A surgical management protocol has been suggested. Although associated with an uncertain late prognosis, arterial level repairs are the most physiologic, and their results to date are encouraging.
Similar content being viewed by others
References
Agarwala B, Doyle EF, Danilowicz, D, Spencer FC, Mills NM (1973) Double-outlet right ventricle with pulmonary stenosis and anteriorly positioned aorta (Taussig-Bing variant).Am J Cardiol 32:850–854
Bernhard WF, Dick M II, Sloss LJ, Castaneda AR, Nadas AS (1976) The palliative Mustard operation for double-outlet right ventricle or transposition of the great arteries associated with ventricular septal defect, pulmonary arterial hypertension, and pulmonary vascular obstructive disease: a report of eight cases.Circulation 54:810–817
Binet JP, Lacour-Gayet F, Conso JF, Dupuis C, Bruniaux J (1983) Complete repair of the Taussig-Bing type of double-outlet right ventricle using the arterial switch operation without coronary translocation: report of one successful case.J Thorac Cardiovasc Surg 85:272–275
Damus PS (1975) Letter to the editor.Ann Thorac Surg 20:724–725
Freedom RM, Culham JAG, Olley PM, Rowe RD, Williams WG, Trusler GA (1981) Anatomic correction of transposition of the great arteries: pre- and postoperative cardiac catheterization, with angiocardiography in five patients.Circulation 63:905–914
Goor, DA, Massini C, Shem-Tov A, Neufeld HN (1982) Transatrial repair of double-outlet right ventricle in infants.Thorax 37:371–375
Hartmann AF Jr, Ferguson T, Kassem AS, Schad N, Kissane JM, Weldon CS, Goldring D (1971) The double-outlet right ventricle: a palliative approach.Ann Thoarc Surg 11:18–26
Harvey JC, Sondheimer HM, Williams WG, Olley PM, Trusler GA (1977) Repair double-outlet right ventricle.J Thorac Cardiovasc Surg 73:611–615
Hightower BM, Barcia A, Bargeron LM Jr, Kirklin JW (1969) Double-outlet right ventricle with transposed great arteries and subpulmonary ventricular septal defect: the Taussig-Bing malformation.Circulation [Suppl 1]39 and40:207–213
Imamura E, Morikawa T, Tatsuno K, Okamoto K, Imai Y, Konno S (1977) Conduit repairs of transposition complexes: a report of 14 cases.J. Thorac Cardiovasc Surg 73:570–577
Kato M, Kawashima Y, Miyamoto T, Naitou Y, Horiguchi Y, Manabe H (1973) Long-term fate of homograft ascending aorta with valve, utilized for reconstruction of the pulmonary artery in double-outlet right ventricle with ventricular inversion.Med J Osaka Univ 24:195–204
Kaye MP (1975) Anatomic correction of transposition of great arteries.Mayo Clin Proc 50:638–640
Kinsley RH, Ritter DG, McGoon DC (1974) The surgical repair of positional anomalies of the conotruncus.J Thorac Cardiovasc Surg 67:395–403
Lecompte Y, Neveaux JY, Leca F, Zannini L, Tu TV, Duboys Y, Jarreau MM (1982) Reconstruction of the pulmonary outflow tract without prosthetic conduit.J Thorac Cardiovasc Surg 84:727–733
Lev M, Bharati S, Meng CCL, Liberthson RR, Paul MH, Idriss F (1972) A concept of double-outlet right ventricle.J Thorac Cardiovasc Surg 64:271–281
Lev M, Rimoldi HJA, Eckner FAO, Melhuish BP, Meng L, Paul MH (1966) The Taussig-Bing heart.Arch Pathol 81:24–35
Lindesmith GG, Stanton RE, Lurie PR, Takahashi M, Tucker BL, Stiles QR, Meyer BW (1975) An assessment of Mustard's operation as a palliative procedure for transposition of the great vessels.Ann Thorac Surg 19:514–520
Lindesmith GG, Stiles QR, Tucker BL, Gallaher ME, Stanton RE, Meyer BW (1972) The Mustard operation as a palliative procedure.J Thorac Cardiovasc Surg 63:75–80
Milanesi O, Thiene G, Bini RM, Pellegrino PA (1982) Complete transposition of great arteries with coarctation of aorta.Br Heart J 48:566–571
Neufeld HN, Du Shane JW, Wood EH, Kirklin JW, Edwards JE (1961) Origin of both great vessels from the right ventricle. I. Without pulmonary stenosis.Circulation 23:399–412
Neufeld HN, Du Shane JW, Edwards JE (1961) Origin of both great vessels from the right ventricle. II. With pulmonary stenosis.Circulation 23:603–612
Neufeld HN, Lucas RV Jr, Lester RG, Adams P Jr, Anderson RC, Edwards JE (1962) Origin of both great vessels from the right ventricle without pulmonary stenosis.Br Heart J 24:393–408
Ostermeyer J, Körfer R, Frenzel H, Bircks W (1980) Straddling atrioventricular valves in biventricular hearts: observations made in five cases.Thorac Cardiovasc Surg 28:233–238
Ottino G, Kugler JD, McNamara DG, Hallman GL (1980) Taussig-Bing anomaly: total repair with closure of ventricular septal defect through the pulmonary artery.Ann Thorac Surg 29:170–176
Pappas G, Hawes CR (1982) Intrapericardial Blalock-Taussig shunt.J Thorac Cardiovasc Surg 83:422–426
Parr GVS, Bharati S, Lev M, Waldhausen JA (1982) Fetal coarctation in complete transposition with ventricular septal defect vs. Taussig-Bing group of hearts: surgical significance [abstr].Circulation [Suppl 2]66:195
Parr GVS, Waldhausen JA, Bharati S, Lev M, Fripp R, Whitman V (1984) Coactation in Taussig-Bing malformation of the heart: surgical significance.J Thorac Cardiovasc Surg (in press)
Patel R, Singh SP, Abrams L, Roberts KD (1977) Coarctation of aorta with special reference to infants: long-term results of operation in 126 cases.Br Heart J 39:1246–1253
Patrick DL, McGoon DC (1968) An operation for double-outlet right ventricle with transposition of the great arteries.J Cardiovasc Surg 9:537–542
Piccoli GP, Pacifico AD, Kirklin JW, Blackstone EH, Stewart RW, Bargeron LM Jr (1982) Changing results in the surgical treatment of double outlet right ventricle [abstr].Circulation [Suppl 2]66:195
Pitlick P, French J, Guthaner D, Shumway N, Baum D (1981) Results of intraventricular baffle procedure for ventricular septal defect and double outlet right ventricle or d-transposition of the great arteries.Am J Cardiol 47:307–314
Rastelli GC, Wallace RB, Ongley PA (1969) Complete repair of transposition of the great arteries with pulmonary stenosis: a review and report of a case corrected by using a new surgical technique.Circulation 39:83–95
Smith EEJ, Pucci JJ, Walesby RK, Oakley CM, Sapsford RN (1982) A new technique for correction of the Taussig-Bing anomaly.J Thorac Cardiovasc Surg 83:901–904
Snoddy JW, Parr EL, Robertson LW, Mauch HP Jr, McCue CM, Lower RR (1978) Successful intracardiac repair of the Taussig-Bing malformation in 2 children.Ann Thorac Surg 25:158–163
Sondheimer HM, Freedom RM, Olley PM (1977) Double-outlet right ventricle: clinical spectrum and prognosis.Am J Cardiol 39:709–714
Stewart RW, Kirklin JW, Pacifico AD, Blackstone EH, Bargeron LM Jr (1979) Repair of double-outlet right ventricle: an analysis of 62 cases.J Thorac Cardiovasc Surg 78:502–514
Stewart S (1977) Double-outlet right ventricle (S, D, D), VSD related to pulmonary artery, and pulmonic stenosis absent: correction with an intraventricular conduit in infancy.J Thorac Cardiovasc Surg 74:70–72
Stansel HC Jr (1975) A new operation for d-loop transposition of the great vessels.Ann Thorac Surg 19:565–567
Taussig HB, Bing RJ (1949) Complete transposition of the aorta and a levoposition of the pulmonary artery: clinical, physiological, and pathological findings.Am Heart J 37:551–559
Thompson NB Jr (1967) Complete repair of Taussig-Bing abnormality.Ann Thorac Surg 4:420–430
Van Praagh R (1968) Editorial. What is the Taussig-Bing malformation?Circulation 38:445–449
Waldhausen JA, Nahrwold DL (1966) Repair of coarctation of the aorta with a subclavian flap.J Thorac Cardiovasc Surg 51:532–533
Wedemeyer L, Lucas RV Jr, Castaneda AR (1970) Taussig-Bing malformation, coarctation of the aorta, and reversed patent ductus arteriosus: operative correction in an infant.Circulation 42:1021–1027
Williams WG, Freedom RM, Culham G, Duncan WJ, Olley PM, Rowe RD, Trusler GA (1981) Early experience with arterial repair of transposition.Ann Thorac Surg 32:8–15
Yamaguchi M, Horikoshi K, Toriyama, A, Kimura K, Mito H, Tei G, Kaneda H, Ogawa K, Asada S (1976) Successful repair of double-outlet right ventricle with bilateral conus, l-transposition of great arteries (S,D,L), and subpulmonary ventricular septal defect.J Thoarc Cardiovasc Surg 71:366–370
Zamora R, Moller JH, Edwards JE (1975) Double-outlet right ventricle. Anatomic types and associated anomalies.Chest 68:672–677
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sadow, S.H., Synhorst, D.P. & Pappas, G. Taussig-Bing anomaly and coarctation of the aorta in infancy: Surgical options. Pediatr Cardiol 6, 83–89 (1985). https://doi.org/10.1007/BF02282743
Issue Date:
DOI: https://doi.org/10.1007/BF02282743