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
#1Douglas S. Moodie (Mayo Clinic)H-Index: 8
#2Douglas D. Mair (Mayo Clinic)H-Index: 53
Last. Dwight C. McGoonH-Index: 71
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At the Mayo Clinic from September, 1967, to November, 1972, 128 patients underwent operations in which an aortic homograft was used to establish right ventricle-to-pulmonary artery continuity. Recently, we studied 18 of these patients who had calcified, obstructed aortic homografts. Seven patients had histories of significant dysrhythmias, all of which required medication and two of which were life threatening. Seventeen of the patients had systemic or suprasystemic pressure in the right ventric...
40 Citations
#1Carlo Marcelletti (Mayo Clinic)H-Index: 7
#2Douglas D. Mair (Mayo Clinic)H-Index: 53
Last. Gordon K. Danielson (Mayo Clinic)H-Index: 104
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Fifty-nine patients had corrective operation of the Rastelli type for transposition of the great arteries between 1968 and 1975. In 21 patients (35 per cent), the ventricular septal defect was enlarged by excising a portion of the septum. During the first 30 days after the operation, 11 patients (19 per cent) died. The risk of repair in infancy was greatly increased. There were 5 late deaths, and reoperation was required in 11 patients. Sixty-eight per cent of the survivors are in New York Heart...
43 Citations
In this series of 13 patients undergoing repair of transposition of the great arteries with ventricular septal defect and pulmonary atresia, the operative risk and postoperative complications were greater than for repair of either transposition of the great arteries with ventricular septal defect and pulmonary stenosis or pulmonary arterial atresia with ventricular defect. Nevertheless, 6 of the 8 survivors improved clinically. Because operative and late mortality and morbidity rates are related...
6 Citations
#1Carlo MarcellettiH-Index: 7
#2Dwight C. McGoonH-Index: 71
Last. Douglas D. MairH-Index: 53
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The cases of 23 patients whose condition was diagnosed as truncus arteriosus, type I or II, and who were seen at the Mayo Clinic during the decade preceding 1967, that is, before corrective operation became feasible, were reviewed. Ten were infants (through one year of age), and all ten have died. Eight ranged in age from more than one year through seven years of age, and all are living, except one, who diet 11 years after diagnosis. Five were older than seven years, and all had severe pulmonary...
67 CitationsSource
#1James B. SewardH-Index: 137
#1James B. SewardH-Index: 39
Last. Douglas D. MairH-Index: 53
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5 CitationsSource
#1Douglas D. Mair (Mayo Clinic)H-Index: 53
#2Donald G. Ritter (Mayo Clinic)H-Index: 38
Last. Dwight C. McGoon (Mayo Clinic)H-Index: 71
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Abstract The tendency toward development of severe pulmonary vascular obstructive disease in patients with complete transposition of the great arteries and associated large ventricular septal defect has been well documented. The physiologic consequence of this process is a significant reduction in intercirculatory mixing, resulting in increasingly severe levels of systemic arterial hypoxemia, compensatory polycythemia and an associated significant increase in symptoms. Data indicate that definit...
25 CitationsSource
#1Douglas S. MoodieH-Index: 25
#2Douglas D. MairH-Index: 53
Last. Robert B. WallaceH-Index: 139
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2 CitationsSource
#1Richard C. McFaulH-Index: 2
#2Douglas D. MairH-Index: 53
Last. Dwight C. McGoonH-Index: 71
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Twenty-seven patients with truncus arteriosus and previous pulmonary arterial banding were evaluated 1 1/2 to 14 years (mean 7 years) after banding. Ages at the time of cardiac catheterization ranged from 3 to 18 years (mean 9 years). Current symptoms were severe in five patients and were related to truncal valve incompetence or decreased pulmonary blood flow (or both) rather than to age, duration of palliation or band location. Twenty-one of 22 patients with two pulmonary arteries were consider...
#1Parker RkH-Index: 1
#2Dwight C. McGoonH-Index: 71
Last. Douglas D. MairH-Index: 53
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: This is a review of the 25 patients with truncus arteriosus who have undergone corrective repair following prior banding of the pulmonary arteries. The early and late mortality rate was 20 percent, which has fallen to 6 percent for the most recent 17 operations. These results indicate that the probability of a successful repair for truncus arteriosus is not reduced for patients who have undergone prior banding of the pulmonary artery. In view of the current high mortality rate for corrective r...
6 Citations