Paediatric Thoracic Surgery

The latest volume in a series for specialists in pediatric surgery.

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Co-founding Editor: P. P. Rickham Editors: T. A. Angerpointner M. W. L. Gauderer . W. Ch. Hecker J. Prevot . L. Spitz U. G. Stauffer . P. Wurnig

Paediatric Thoracic Surgery Volume Editors

N. A. Myers and T. A. Angerpointner With a Foreword by A. W. Auldist

With 80 Figures and 44 Tables

Springer-Verlag Berlin Heidelberg GmbH

NATHANIEL A. MYERS AM, MD, FRCS, FRACS Royal Children's Hospital Melbourne Flemington Road, Parkville, Victoria, 3052 Australia Priv.-Doz. Dr. THOMAS A. ANGERPOINTNER ZenettistraBe 48/III, D-8000 Munich 2 (W) Federal Republic of Germany

Volumes 1-17 of this series were published by Urban & Schwarzenberg, Baltimore-Munich

ISBN 978-3-642-87769-8

ISBN 978-3-642-87767-4 (eBook)

DOI 10.1007/978-3-642-87767-4

Library of Congress Cataloging-in-Publication Data Paediatric thoracic surgery 1volume editors, N. A. Myers and T. A. Angerpointner; cm. - (Progress in pediatric surgery; v. 27) p. with foreword by A. W. Auldist. Includes bibliographical references and index. (alk. paper) (alk. paper) 1. Chest- Surgery. 2. Children- Surgery. I. Myers, N.A. (Nathaniel A.), 1922- . II. Angerpointner, Thomas. III. Series. W1 PR677KA v. 271 WF 980 P126] [DNLM: 1. Thoracic Surgery- in infancy & childhood. DNLM/DLC [617.5'4059] 617'.98 s- dc20 [RD536] voi. 27 RD137.A1P7 for Library of Congress 91-4594 CIP This work is subject to copyright. Ali rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and a copyright fee must always be paid. Violations fali under the prosecution act of the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1991

Originally published by Springer-Verlag Berlin Heidelberg New York in 1991 Softcover reprint ofthe hardcover lst edition 1991 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceuticalliterature.

23/3145-543210

Printed on acid-free paper

Dedication

This volume is dedicated to Russell Howard, ED, MD, FRCS, FRACS, MRCOG in recognition of his leadership, wisdom and surgical skill

Foreword

This volume of Progress in Pediatric Surgery has been produced at a time when medical progress is frequently measured in terms of technological advances. Important as they are it is essential to remember that soundly based clinical skills are necessary in order to plan all aspects of therapy, both medical and