The Annals of Thoracic Surgery, Vol 44, 552-553, Copyright © 1987 by The Society of Thoracic Surgeons
Bovine pericardium: a source of pulmonary venous obstruction in the Mustard procedure
RP Cochran and EC McGough
Division of Cardiothoracic Surgery, Southwestern Medical School, University of Texas Health Science Center at Dallas 75235-9031.
Following Mustard's popularization of the intraatrial baffle procedure for
transposition of the great arteries, debate has persisted regarding the
ideal materials to use. Reports of xenograft (i.e., bovine pericardium) as
a suitable prosthetic material made it an appealing choice. We report our
recent experience with 2 patients in whom bovine pericardium was used for
atrial augmentation, with subsequent pulmonary venous obstruction. For this
reason, we have abandoned this material as an acceptable prosthetic in the
Mustard procedure.