Commentary: Worldwide, the management of transposition may be more baffling than we knew

Chen, Jonathan M.

doi:10.1016/j.jtcvs.2019.09.110

Cited by 1 publication

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References 15 publications

(16 reference statements)

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“…The modified Mustard operation is being increasingly used for patients with TGA and intact interventricular septum (TGA-IVS) with encouraging results. [1][2][3][4] One of the main objectives of this operation is to improve left ventricular (LV) filling and volume by enhancing the conduit, reservoir and contractile functions of the atrial channels. However, the shift of the IVS is known to increase tricuspid regurgitation due to tethering of the tricuspid septal attachments.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary artery banding in a modified Mustard operation improves biventricular geometry and function

Hosny

Said

Afifi

et al. 2020

gcsp

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Patients with transposition of great arteries, with intact interventricular septum (TGA-IVS) and deconditioned left ventricle, represent a considerable challenge in developing countries. The modified Mustard operation was shown to provide a significant improvement for these patients, particularly by enhancing atrial functions and left ventricular filling. Yet, the problems of the systemic right ventricular dysfunction and the resulting secondary tricuspid regurgitation (TR) remain to be of major concern. In addition, the deviation of the interventricular septum towards the left side markedly impairs ventriculo-ventricular interaction and predisposes to dynamic left ventricular outflow tract obstruction (LVOTO). We report that adding a moderately loose pulmonary artery banding to the modified Mustard operation in a case of TGA-IVS results in improvement of biventricular geometry and function, tricuspid and mitral valve functions and disappearance of dynamic LVOTO.

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Section: Introductionmentioning

confidence: 99%

Pulmonary artery banding in a modified Mustard operation improves biventricular geometry and function

Hosny

Said

Afifi

et al. 2020

gcsp

View full text Add to dashboard Cite

show abstract

Commentary: Worldwide, the management of transposition may be more baffling than we knew

Abstract: Is Mustard the new black? Central Message Improvements to the Mustard procedure remain relevant, because atrial switch operations are still performed broadly worldwide for patients with late diagnosis of transposition of the great arteries.

Cited by 1 publication

References 15 publications

Pulmonary artery banding in a modified Mustard operation improves biventricular geometry and function

Pulmonary artery banding in a modified Mustard operation improves biventricular geometry and function

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