Palliative Mustard operation: an expanded horizon

A. F. Corno, F. Parisi, B. Marino, L. Ballerini, C. Marcelletti

Research output: Contribution to journalArticlepeer-review

Abstract

From March 1982 to December 1983, five patients with a mean age 7 years (4 months-16 years) underwent a palliative Mustard operation for complex cardiac anomalies. The diagnoses were: univentricular heart with pulmonary vascular obstructive disease (PVOD) (2 cases); criss-cross heart with intact atrial septum, ventricular septal defect (VSD), transposition of the great arteries (TGA) and moderate pulmonary stenosis: isolated atrioventricular discordance with VSD; TGA, diminutive right ventricle and multiple VSDs. Cardiac catheterization showed unfavourable direction of flow: the oxygen saturation in the aorta was lower than in pulmonary artery, with a mean difference of 13.5% (range 6% to 30%). In no case was anatomical or physiological repair considered advisable because of the unfavourable intracardiac anatomy or the presence of PVOD. In two patients the atrial rerouting was accompanied by pulmonary artery banding. There were no hospital or late deaths in a mean follow-up of 36 months (range 29 to 50 months). The mean post-operative arterial oxygen saturation was 95.4% (range 92% to 99%).

Original languageEnglish
Pages (from-to)144-147
Number of pages4
JournalEuropean Journal of Cardio-thoracic Surgery
Volume1
Issue number3
Publication statusPublished - 1987

Keywords

  • Congenital heart disease
  • Palliative Mustard operation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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