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

Published online by Cambridge University Press:  19 August 2008

Hellmut Oelert*
Affiliation:
Klinikum der Johannes Gutenberg-Universität, Mainz
*
Dr. Hellmut Oelert Klinikum der Johannes Gutenberg–Universität, Postfach 3960, Langenbeckstrasse 1, 6500 Mainz, Germany

Summary

In 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.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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