Late development of pulmonary venous obstruction following Mustard's operation using a dacron baffle.

Published on Mar 1, 1977in Circulation23.603
· DOI :10.1161/01.CIR.55.3.484
David J. Driscoll71
Estimated H-index: 71
,
Michael R. Nihill31
Estimated H-index: 31
+ 2 AuthorsDan G. McNamara56
Estimated H-index: 56
Sources
Abstract
Three patients developed late pulmonary vein obstruction (PVO) following Mustard's operation for transposition of the great arteries. In all three the absence of PVO had been documented by an earlier postoperative cardiac catheterization. At reoperation shrinkage and kinking of the dacron baffle was evident. After Mustard's operation, patients should be observed closely for symptoms and signs of PVO since it can occur insidiously despite previously proven absence of this complication.
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References0
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Fourteen patients have been studied hemodynamically 4-10 years (mean 5.5 years) after the Mustard operation for transposition of the great arteries. Investigation was directed principally at 1) the detection of baffle obstruction by catheterization of the pulmonary veins (PV) and venae cavae and recording of simultaneous right ventricular (RV) and pulmonary capillary wedge pressures (PCW); 2) the detection of intra-atrial baffle leaks by dye curves and selective angiography; 3) the assessment of...
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Correction of transposition of the great arteries is accomplished by a modified Rastelli procedure, if an adequate ventricular septal defect is present, or by an intra-atrial baffle procedure, if the ventricular septal defect is small or absent. The Albert or Mustard procedure for transposition of the great arteries should be regarded more precisely as the first stage in a series of procedures which may be necessary in any given case. Prosthetic material for the intra-atrial baffle is no guarant...
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