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

This Article Full Text (PDF) 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 Corno, A. F. Articles by Marcelletti, C. Search for Related Content PubMed PubMed Citation Articles by Corno, A. F. Articles by Marcelletti, C.

European Journal of Cardio-Thoracic Surgery, Vol 1, 144-147, Copyright © 1987 by European Association for Cardio-thoracic Surgery

ARTICLES

Palliative Mustard operation: an expanded horizon

AF Corno, F Parisi, B Marino, L Ballerini and C Marcelletti
Department of Pediatric Cardiology, Ospedale Bambino Gesu, Rome, Italy.

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%).

This article has been cited by other articles:

				H. M. Burkhart, J. A. Dearani, W. G. Williams, F. J. Puga, D. D. Mair, D. A. Ashburn, G. D. Webb, and G. K. Danielson Late results of palliative atrial switch for transposition, ventricular septal defect, and pulmonary vascular obstructive disease Ann. Thorac. Surg., February 1, 2004; 77(2): 464 - 469. [Abstract] [Full Text] [PDF]