[A successful arterial switch operation for a patient with pulmonary venous obstruction and pulmonary hypertension five years after the Mustard procedure].
A five year and six month old boy, who had undergone Mustard operation for complete transposition of the great arteries with intact ventricular septum at two months of age, was reoperated on for pulmonary venous obstruction and pulmonary hypertension (PLV/RV = 0.96). The other complications which he had were moderate tricuspid regurgitation and various supra-ventricular arrhythmias. After the atrial baffle of the Mustard procedure was taken down, atrial septum was reconstructed and arterial switch operation was performed at the same time. One month after the operation, Pp/Ps was 0.41 and no tricuspid regurgitation and arrhythmias were found. He was discharged and his quality of life was ameliorated surprisingly.
Wakaki
N
N
Department of Cardiovascular Surgery, Kinki University School of Medicine, Osaka, Japan.
Shirotani
H
H
Oku
H
H
Nishioka
T
T
Sunakawa
A
A
Kitayama
H
H
D002675:Child, Preschool; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D011668:Pulmonary Veno-Occlusive Disease / Q000209:etiology / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery*