Douglas D. Mair
Mayo Clinic
Internal medicineRadiologySurgeryCardiologyHemodynamicsPediatricsGreat arteriesTricuspid atresiaFontan procedureHeart septal defectCardiac catheterizationPulmonary atresiaVentricleTricuspid valveStenosisHeart diseasePersistent truncus arteriosusPulmonary arteryIn patientMedicine
116Publications
53H-index
7,145Citations
Publications 115
Newest
#1Harold M. Burkhart (Mayo Clinic)H-Index: 53
#2Joseph A. Dearani (Mayo Clinic)H-Index: 95
Last. Gordon K. Danielson (Mayo Clinic)H-Index: 104
view all 8 authors...
Abstract Background Palliative atrial switch (PAS) procedures that reroute pulmonary and systemic venous drainage and leave a ventricular septal defect (VSD) open have been used in the treatment of deeply cyanotic patients who have severe pulmonary vascular obstructive disease (PVOD). Palliative atrial switch is beneficial for patients with transposition of the great arteries or other complex lesions with VSD who show higher arterial oxygen saturation in the pulmonary artery than in the aorta (t...
29 CitationsSource
It has been nearly 40 years since Kirklin, at the Mayo Clinic in 1964, performed the first surgical repair of pulmonary atresia with ventricular septal defect using a nonvalved extracardiac conduit, which he created out of the patient’s pericardium, and this patient continues to do well. In the subsequent four decades, great advances have been made in the diagnosis, with regard to the often very complex anatomy of pulmonary blood supply that this extremely heterogeneous group of patients manifes...
3 CitationsSource
#1Harold M. Burkhart (Mayo Clinic)H-Index: 53
#2Joseph A. Dearani (Mayo Clinic)H-Index: 95
Last. Gordon K. Danielson (Mayo Clinic)H-Index: 104
view all 8 authors...
Abstract Objective The modified Fontan procedure, usually performed in children, is used for the treatment of anomalies with a single functional ventricle. We reviewed our experience with the modified Fontan procedure performed in the adult patient. Methods Between October 1973 and May 2001, the modified Fontan procedure was performed on 132 adult patients (74 men, 58 women). Median age was 23 years (range, 18 to 53 years). Diagnoses included tricuspid atresia in 34 patients (26%), double-inlet ...
112 CitationsSource
#1John M. Cho (Mayo Clinic)H-Index: 2
#2Francisco J. Puga (Mayo Clinic)H-Index: 73
Last. Duane M. Ilstrup (Mayo Clinic)H-Index: 159
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Abstract Objective: We sought to determine the results of surgical treatment of patients with tetralogy of Fallot and pulmonary atresia with or without major aortopulmonary collateral arteries, to clarify variables affecting early and late mortality, and to expose late, nonfatal events affecting surgical patients. Methods: The records of 495 patients operated on from 1977 to 1999 were reviewed. Patients were separated into those who did not undergo complete repair (group A) and those who did (gr...
105 CitationsSource
#1Douglas D. Mair (Mayo Clinic)H-Index: 53
#2Eugene K Sim (Mayo Clinic)H-Index: 1
Last. Francisco J. Puga (Mayo Clinic)H-Index: 73
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Abstract The first successful surgical correction of truncus arteriosus (common arterial trunk) was performed in 1967 and long-term follow-up is now available on 137 operative survivors. Actuarial survival was 46.4% at 24 years. Late survival was statistically significantly improved in patients having correction during the first 2 years of life when compared to those corrected after the age of 2. Late mortality was secondary to reoperation, most commonly for truncal valve replacement, progressiv...
4 CitationsSource
#1Douglas D. Mair (Mayo Clinic)H-Index: 53
#2Francisco J. Puga (Mayo Clinic)H-Index: 73
Last. Gordon K. Danielson (Mayo Clinic)H-Index: 10
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OBJECTIVES We assessed the operative and late mortality and the present clinical status of 216 patients with tricuspid atresia who had a nonfenestrated Fontan procedure performed at the Mayo Clinic in the 25-year period 1973 to 1998. BACKGROUND The Fontan operation eliminates the systemic hypoxemia and ventricular volume overload characteristic of prior forms of palliation. However, it originally did so at the cost of systemic venous and right atrial hypertension, and the long-term effects of th...
165 CitationsSource
#1Joseph A. Dearani (Mayo Clinic)H-Index: 95
#2Gordon K. Danielson (Mayo Clinic)H-Index: 104
Last. Cathy D. Schleck (Mayo Clinic)H-Index: 92
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The Rastelli operation, first performed in 1968, was developed for repair of transposition of the great arteries with associated ventricular septal defect and severe pulmonary stenosis. This operation includes placement of an intracardiac baffle to direct left ventricular blood to the aorta and an extracardiac valved conduit to establish continuity between the right ventricle and the pulmonary arteries. Over the last 3 decades, the Rastelli operation has been performed with a progressive decline...
107 CitationsSource
#1Edward Helton (UVA: University of Virginia)H-Index: 1
#2Robert K. Darragh (IU: Indiana University)H-Index: 7
Last. Susan Winter (Boston Children's Hospital)H-Index: 15
view all 11 authors...
Objectives. A multicenter retrospective study was conducted to investigate the possible metabolic causes of pediatric cardiomyopathy and evaluate the outcome of patients treated with l-carnitine. Methods. Seventy-six patients diagnosed with cardiomyopathy were treated with l-carnitine in addition to conventional cardiac treatment, and 145 patients were treated with conventional treatment only. There were 101 males and 120 females between 1 day and 18 years old. Cardiomyopathy diagnoses included ...
56 Citations
5 CitationsSource
#1Douglas D. Mair (Mayo Clinic)H-Index: 53
#2Paul R. Julsrud (Mayo Clinic)H-Index: 37
Last. Gordon K. Danielson (Mayo Clinic)H-Index: 104
view all 4 authors...
Abstract Objectives. The goals of the study were to evaluate the operative and late mortality associated with the Fontan procedure in patients with pulmonary atresia and an intact ventricular septum and to obtain follow-up information on the current clinical status of surviving patients. Background. Between 1979 and October 1, 1995, 40 patients with the anomaly had a nonfenestrated Fontan procedure performed at the Mayo Clinic. Because there are no previously published reports involving a series...
44 CitationsSource