Pericardial baffle complications following the Mustard operation. Age-related incidence and ease of management

A. Cobanoglu, P. A. Abbruzzese, I. Freimanis, C. E. Garcia, G. Grunkemeier, A. Starr

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Pericardial baffle complications with the standard Mustard operation led first to the use of alternative materials of various shapes and finally to the recent popularity of the Senning procedure. At The Oregon Health Sciences University, we have persisted since the mid-1060s in the use of a modified Mustard operation in which a rectangular pericardial baffle is employed. Among 75 patients, there were baffle complications necessitating reoperation in 13. The reoperation-free rates (± standard error) at 9 years for patients ≤ 6 months, 7 to 12 months, and >12 months of age were 59% ± 15%, 60% ± 17%, and 95% ± 5%, respectively. All 10 patients reoperated upon during the past decade survived with complete relief of symptoms. A double patch to widen both the superior portion of the baffle and the superior vena cava was used most commonly and is our current procedure-of-choice. Baffle complications after the use of pericardium can be managed easily and reoperation on these patients carries a low risk. However, even with experience, the incidence of reoperation remains high in patients under 1 year of age and prompts a critical age-related comparison of these late results with the Senning procedure.

Original languageEnglish (US)
Pages (from-to)371-378
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume87
Issue number3
DOIs
StatePublished - 1984

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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