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Reoperations After Mustard and Senning Operations

  • J. Stark

Abstract

Senning introduced the physiological repair of transposition of the great arteries in 1958 (Senning 1959) and Mustard published his experience with the atrial switch in 1964 (Mustard 1964). The Mustard operation soon became the operation of choice, and survival rates of over 90% for patients with simple transposition were reported (Waldhausen et al. 1971; Lindesmith et al. 1973; Ebert et al. 1974; Stark et al. 1974a). The original concept of the Mustard operation was a two-stage correction. A Blalock-Hanlon atrial septectomy enabled a sick infant to survive. Because of the fear that the small size of the atria would preclude successful repair, the Mustard operation was often delayed into the second or third year of life. The balloon atrial septostomy was introduced by Rashkind and Miller in 1966 (Rashkind and Miller 1966). This considerably improved the survival of infants with transposition of the great arteries. However, the improvement achieved by a balloon septostomy did not usually last as long as the improvement following a surgical septectomy. Attempts, therefore, were made to lower the age for an elective Mustard operation, and soon results which were comparable with or better than the results achieved in older children were reported (Aberdeen 1971; Stark et al. 1974a; Bailey et al. 1976; Oelert et al. 1977; Turley and Ebert 1978). The advantage of early balloon septostomy followed by a Mustard operation during the first year of life rapidly became apparent.

Keywords

Right Ventricular Pulmonary Vein Tricuspid Valve Great Artery Venous Obstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Berlin Heidelberg 1989

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  • J. Stark

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