Anatomic correction for post-mustard pulmonary venous obstruction.
Pulmonary artery banding and arterial switch operation as a two-stage approach have offered a surgical solution to the failing right ventricle after intraatrial repair of the transposition of the great arteries. Banding of the pulmonary artery increases the resistance to the left ventricular output and, therefore, "prepares" the left ventricle for supporting the systemic circulation and arterial switch operation. We report a case of anatomic correction for transposition of the great arteries after intraatrial repair (Mustard's operation) in which the left ventricle was retrained serendipitously as a consequence of pulmonary venous obstruction complicating Mustard's procedure.
Shinebourne
E A
EA
Department of Paediatric Cardiology, Royal Brompton National Heart and Lung Hospital, London, England.
Jahangiri
M
M
Carvalho
J S
JS
Lincoln
C
C
D002648:Child; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D011667:Pulmonary Veins / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery*; D014652:Vascular Diseases / Q000601:surgery; D016277:Ventricular Function, Left / Q000502:physiology; D017725:Ventricular Pressure / Q000502:physiology