6533b7d6fe1ef96bd1266788

RESEARCH PRODUCT

Modification of the Mustard operation for surgical treatment of complete transposition by creating a confluence of the caval veins

Hellmut Oelert

subject

medicine.medical_specialtybusiness.industrymedicine.medical_treatmentPediatrics Perinatology and Child HealthMustard operationmedicineGeneral MedicineComplete transpositionCardiology and Cardiovascular MedicinebusinessSurgical treatmentSurgeryMustard procedure

description

SummaryIn this review, I describe our modification of the Mustard operation for hemodynamic correction of complete transposition which, in principle, consists of intraatrial construction of a caval venous confluence. A new design of the intraatrial baffle has been developed using Gore-Tex. Fewer complications have been encountered with this method when compared to other techniques of atrial redirection. The Mustard procedure, therefore, will retain a future role when anatomic abnormalities, or other circumstances, preclude anatomic correction at the arterial level.

https://doi.org/10.1017/s1047951100000111