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 Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bernhard, W. F. Articles by Nadas, A. S. Search for Related Content PubMed PubMed Citation Articles by Bernhard, W. F. Articles by Nadas, A. S.

Circulation, Vol 54, 810-817, Copyright © 1976 by American Heart Association

ARTICLES

The palliative Mustard operation for double outlet right ventricle or transposition of the great arteries associated with ventricular septal defect, pulmonary arterial hypertension, and pulmonary vascular obstructive disease. A report of eight patients

WF Bernhard, M Dick 2d, LJ Sloss, AR Castaneda and AS Nadas

Five patients with double outlet right ventricle, ventricular septal defect, pulmonary arterial hypertension and pulmonary vascular obstructive disease and three patients with complete d-transposition of the great arteries, ventricular septal defect, pulonary arterial hypertension and pulmonary vascular obstructive disease underwent an elective Mustard baffle operation. The ventricular septal defect was not closed. A large patent ductus arteriosus was divided in three patients. Seven of the eight patients are alive five to 32 months after surgery; one patient died 11 months after surgery. Cyanosis, dyspnea on exertion, and exercise limitation improved initially in all and has persisted in the survivors. In pre and postoperative hemodynamic studies in four patients, systemic arterial oxygen saturation and effective pulmonary blood flow increased from mean values of 70% to 90% and 1.7/min/m2 to 3.3 L/mon/m2, respectively. Absolute systemic and pulmonary flows, and pressures and resistances, were not significantly altered. Criteria for selection of patients with transposition of the great arteries of double outlet right ventricle who would benefit from a palliative Mustard procedure (Mustard atrial baffle without closure of the ventricular spetal defect) are: 1) severe symptoms; 2) pulmonary arteiral hypertension (75% systemic) with pulmonary vascular obstructive disease; and 3) pulmonary artieral oxygen saturation greater than systemic (ascending aorta) arterial oxygen saturation by approximately 10%.

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]