Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1978 Feb;40(2):204–208. doi: 10.1136/hrt.40.2.204

Transposition of the great arteries. New technique for anatomical correction.

J Aubert, A Pannetier, J P Couvelly, D Unal, F Rouault, A Delarue
PMCID: PMC482800  PMID: 637971

Abstract

We describe a new technique for the correction of transposition of the great arteries by "detransposition". An aortopulmonary window is created and a patch placed over this and the coronary ostia so that the coronary arteries arisen from the new aorta. Thus, direct surgery on the coronary arteries is avoided with all the complications which may result from this in neonates and infants. A 4.2 kg infant, with transposition and ventricular septal defect, was successfully operated on using this technique. We discuss the indications for this type of operation and conclude that, until we have more experience, it should be used only in children with a left ventricular pressure at least half systemic.

Full text

PDF
204

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aberdeen E. Correction of uncomplicated cases of transposition of the great arteries. Br Heart J. 1971;33(Suppl):66–68. doi: 10.1136/hrt.33.suppl.66. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bernhard W. F., Dick M., 2nd, Sloss L. J., Castaneda A. R., Nadas A. S. The palliative Mustard operation for double outlet right ventricle or transposition of the great arteries associated with ventricular septal defect, pulmonary arterial hypertension, and pulmonary vascular obstructive disease. A report of eight patients. Circulation. 1976 Nov;54(5):810–817. doi: 10.1161/01.cir.54.5.810. [DOI] [PubMed] [Google Scholar]
  3. Bonham-Carter R. E. Progress in the treatment of transposition of the great arteries. Br Heart J. 1973 Jun;35(6):573–577. doi: 10.1136/hrt.35.6.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Carpentier A. Lettre: La transposition compléte des gros vaisseaux. Une nouvelle opération pour son traitement. Nouv Presse Med. 1974 Nov 2;3(37):2416–2416. [PubMed] [Google Scholar]
  5. Champsaur G. L., Sokol D. M., Trusler G. A., Mustard W. T. Repair of transposition of the great arteries in 123 pediatric patients: early and long-term results. Circulation. 1973 May;47(5):1032–1041. doi: 10.1161/01.cir.47.5.1032. [DOI] [PubMed] [Google Scholar]
  6. Clarkson P. M., Barratt-Boyes B. G., Neutze J. M., Lowe J. B. Results over a ten-year period of palliation followed by corrective surgery for complete transposition of the great arteries. Circulation. 1972 Jun;45(6):1251–1258. doi: 10.1161/01.cir.45.6.1251. [DOI] [PubMed] [Google Scholar]
  7. DAVIDSON J. S. Anastomosis between the ascending aorta and the main pulmonary artery in the tetralogy of Fallot. Thorax. 1955 Dec;10(4):348–350. doi: 10.1136/thx.10.4.348. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. IDRISS F. S., GOLDSTEIN I. R., GRANA L., FRENCH D., POTTS W. J. A new technic for complete correction of transposition of the great vessels. An experimental study with a preliminary clinical report. Circulation. 1961 Jul;24:5–11. doi: 10.1161/01.cir.24.1.5. [DOI] [PubMed] [Google Scholar]
  9. Jatene A. D., Fontes V. F., Paulista P. P., Souza L. C., Neger F., Galantier M., Sousa J. E. Anatomic correction of transposition of the great vessels. J Thorac Cardiovasc Surg. 1976 Sep;72(3):364–370. [PubMed] [Google Scholar]
  10. Lindesmith G. G., Stiles Q. R., Tucker B. L., Gallaher M. E., Stanton R. E., Meyer B. W. The Mustard operation as a palliative procedure. J Thorac Cardiovasc Surg. 1972 Jan;63(1):75–80. [PubMed] [Google Scholar]
  11. MUSTARD W. T. SUCCESSFUL TWO-STAGE CORRECTION OF TRANSPOSITION OF THE GREAT VESSELS. Surgery. 1964 Mar;55:469–472. [PubMed] [Google Scholar]
  12. Mair D. D., Ritter D. G., Danielson G. K., Wallace R. B., McGoon D. C. The palliative Mustard operation: rationale and results. Am J Cardiol. 1976 Apr;37(5):762–768. doi: 10.1016/0002-9149(76)90372-6. [DOI] [PubMed] [Google Scholar]
  13. Planché C. La transposition des gros vaisseaux. Etude expérimentage vasculaire. Nouv Presse Med. 1976 Sep 25;5(31):1991–1992. [PubMed] [Google Scholar]
  14. ROWLATT U. F. Coronary artery distribution in complete transposition. JAMA. 1962 Jan 27;179:269–278. [PubMed] [Google Scholar]
  15. Shaher R. M., Puddu G. C. Coronary arterial anatomy in complete transposition of the great vessels. Am J Cardiol. 1966 Mar;17(3):355–361. doi: 10.1016/0002-9149(66)90218-9. [DOI] [PubMed] [Google Scholar]
  16. Sorland S. J., Tjonneland S., Hall K. V. Transposition of great arteries. Early results of Mustard's operation in paediatric patients. Br Heart J. 1976 Jun;38(6):584–588. doi: 10.1136/hrt.38.6.584. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Stark J., Silove E. D., Taylor J. F., Graham G. R. Obstruction to systemic venous return following the Mustard operation for transposition of the great arteries. J Thorac Cardiovasc Surg. 1974 Nov;68(5):742–749. [PubMed] [Google Scholar]
  18. el-Said G., Rosenberg H. S., Mullins C. E., Hallman G. L., Cooley D. A., McNamara D. G. Dysrhythmias after Mustard's operation for transposition of the treat arteries. Am J Cardiol. 1972 Oct;30(5):526–532. doi: 10.1016/0002-9149(72)90043-4. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES