HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Egloff, L. P. Articles by Castaneda, A. R. Search for Related Content PubMed PubMed Citation Articles by Egloff, L. P. Articles by Castaneda, A. R.

The Annals of Thoracic Surgery, Vol 26, 474-484, Copyright © 1978 by The Society of Thoracic Surgeons

ARTICLES

Early and late results with the Mustard operation in infancy

LP Egloff, MD Freed, M Dick, WI Norwood and AR Castaneda

Eighty-one patients, ranging in age from 36 hours to 24 months and in weight from 2.5 to 12 kg had a Mustard operation for D-transposition of the great arteries (D-TGA) (20 with complex D-TGA) using either deep hypothermic circulatory arrest (68 patients) or conventional cardiopulmonary bypass (13 patients). A Dacron patch was used for the intraatrial baffle and pericardium for augmentation of the pulmonary atrium. Ten patients died following operation. Thirty-two patients had cardiac catheterization 1 year after operation. Of 24 patients with D- TGA and intact ventricular septum, 23 had normal pulmonary artery pressures. In 20 patients left ventricular outflow tract gradients decreased from a mean of 32 mm Hg to a mean of 18 mm Hg after operation. Five patients who had D-TGA and ventricular septal defect and systemic pressures in the left ventricle before operation, had a notable decrease in left ventricular pressures after the procedure. Seven patients required reoperation for baffle obstruction. Mortality following Mustard repair was primarily related to the complexity of the lesion, maturity of the infant, and degree of pulmonary vascular changes. Caval obstruction was related to the configuration of the baffle used in the early part of this series.

This article has been cited by other articles:

				R. Lange, J. Horer, M. Kostolny, J. Cleuziou, M. Vogt, R. Busch, K. Holper, H. Meisner, J. Hess, and C. Schreiber Presence of a Ventricular Septal Defect and the Mustard Operation Are Risk Factors for Late Mortality After the Atrial Switch Operation: Thirty Years of Follow-Up in 417 Patients at a Single Center Circulation, October 31, 2006; 114(18): 1905 - 1913. [Abstract] [Full Text] [PDF]

				L. A. Rhodes, G. Wernovsky, J. F. Keane, J. E. Mayer Jr., A. Shuren, C. Dindy, S. D. Colan, and E. P. Walsh Arrhythmias and intracardiac conduction after the arterial switch operation J. Thorac. Cardiovasc. Surg., February 1, 1995; 109(2): 303 - 310. [Abstract] [Full Text]