Mustard operation and creation of ventricular septal defect in two patients with transposition of the great arteries, intact ventricular septum and pulmonary vascular disease

Autor: James F.N. Taylor, Jaroslav Stark, Marc R. de Leval
Rok vydání: 1976
Předmět:
Zdroj: The American Journal of Cardiology. 38:524-527
ISSN: 0002-9149
Popis: The condition of patients with transposition of the great arteries, intact ventricular septum and severe pulmonary vascular disease is inoperable with present techniques. In a series of 260 surgically treated patients with transposition of the great arteries and intact ventricular septum, 5 had severely increased pulmonary vascular resistance, and all 5 died; postmortem examination confirmed the presence of severe pulmonary vascular disease. The concept of the “palliative Mustard” procedure was applied in two children with transposition of the great arteries, intact ventricular septum and pulmonary vascular disease who underwent the Mustard operation with creation of a ventricular septal defect. The postoperative course was uneventful in both patients. Thirteen and 5 months, respectively, after operation, both are physically active and have respective arterial oxygen saturation levels of 94 and 92 percent.
Databáze: OpenAIRE