J Cardiovasc Ultrasound.  2013 Dec;21(4):200-201. 10.4250/jcu.2013.21.4.200.

Early Complication of Mustard Procedure after Late Repair

• Moustafa S
• Al Shanawani M
• Patton DJ
• Alvarez N
• Zuhairy H
• AlMoukirish A
• Mookadam F

• KMID: 2135422
• DOI: http://doi.org/10.4250/jcu.2013.21.4.200

Abstract

No abstract available.

Keyword

Transposition of great arteries; Mustard procedure; Baffle stenosis; Echocardiogram; Magnetic resonance

MeSH Terms

Mustard Plant*
Transposition of Great Vessels

Figure

• 

  Fig. 1 Transthoracic echocardiogram apical 4-chamber view (A) with zoom mode (B) demonstrating the connections of the systemic venous circulation with significant color turbulence suggestive of baffle stenosis at the veno-atrial junction (arrow). LV: left ventricle, PVA: pulmonary venous atrium, RV: right ventricle.

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  Fig. 2 A: Cardiovascular magnetic resonance 4-chamber steady-state free precession (SSFP) image showing the trabeculated dilated systemic RV and patent pulmonary venous baffle (arrow). B: Cardiovascular magnetic resonance coronal SSFP image showing the typical discordant ventriculararterial relationship in complete transposition of the great arteries with the AO arising from the RV and MPA arising from the LV. C: Cardiovascular magnetic resonance axial SSFP image demonstrating severely dilated main PA and both branches. D: Cardiovascular magnetic resonance coronal SSFP image revealing significant stenosis of both superior vena cava (long arrow) and inferior vena cava (short arrow) limbs of the Mustard baffle at the veno-atrial junction. LV: left ventricle, PVA: pulmonary venous atrium, RV: right ventricle, AO: aorta, PA: pulmonary artery, LPA: left pulmonary artery, MPA: main pulmonary artery, RPA: right pulmonary artery.

Reference

1. Chatelain P, Meier B, Friedli B. Stenting of superior vena cava and inferior vena cava for symptomatic narrowing after repeated atrial surgery for D-transposition of the great vessels. Br Heart J. 1991; 66:466–468.

2. Cohen MD, Johnson T, Ramrakhiani S. MRI of surgical repair of transposition of the great vessels. AJR Am J Roentgenol. 2010; 194:250–260.

3. Kouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB. Kirklin/Barratt-Boyes cardiac surgery. 3rd ed. Philadelphia: Churchill Livingstone;2003. p. 1439–1507.