Post-Mustard procedure pulmonary venous obstruction: An opportunity for anatomic correction with a one-stage arterial switch.
A 14-year-old boy after a Mustard procedure for transposition of the great arteries developed pulmonary hypertension secondary to baffle obstruction. This occurred over several years without apparent significant symptomatology. Systemic-level pressure prevailed in the left (pulmonary) ventricle and provided an opportunity to perform a successful one-stage arterial switch.
Reisman
M
M
Department of Pediatrics (Cardiology), Kaiser Permanente Medical Center, 4700 Sunset Boulevard, Los Angeles, CA 90027, USA.
Rosengart
R M
RM
Degner
T L
TL
Sintek
C
C
Khonsari
S
S
D000293:Adolescent; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000601:surgery; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D011668:Pulmonary Veno-Occlusive Disease / Q000209:etiology* / Q000601:surgery*; D012086:Reoperation; D014188:Transposition of Great Vessels / Q000601:surgery*; D016896:Treatment Outcome