Mustard procedure
Mustard procedure | |
---|---|
ICD-9-CM | 35.91 |
The Mustard procedure was developed in 1963 by Dr.
Dr. Mustard, with support from the
In his autobiography, South African cardiac surgeon Christiaan Barnard claims to have been the first to perform the operation, with Mustard only following 'several years later'.[3]
Background
The defect is called transposition of the great vessels, or transposition of the great arteries (TGV or TGA). Until the late 1950s, and Senning's operation, the condition was commonly fatal. The defect causes blood from the lungs to flow back to the lungs and blood from the body to flow back to the body. This occurs because the aorta and the pulmonary artery, the two major arteries coming out of the heart, are connected to the wrong chambers. The babies look blue because there is insufficient oxygen circulating in their bodies.[2]
Procedure
The Mustard Procedure allows total correction of transposition of the great vessels. The procedure employs a
Superseded by Arterial Switch
The Mustard procedure was largely replaced in the late 1980s by the
Long-term survival
The Mustard procedure improved an 80% mortality rate in the first year of life to an 80% survival at age 20. Long-term follow-up studies now extend to more than 40 years post-operation[4] and there are numerous patients thriving in their 50s. A Facebook group, Mustard or Senning Survivors,[5] gathers several hundred global survivors in their 20s to 50s into a single community, supporting adults born with TGA that have had a Mustard, Senning, Rastelli or Nikaidoh heart procedure.[citation needed]
See also
- Congenital heart disease
- Blalock–Hanlon procedure
References
- ISBN 978-0-9822709-0-5.
- ^ S2CID 10491740.
- ISBN 9780552659888
- S2CID 37856209.
- ^ "Mustard or Senning survivors". Facebook.