Document Detail

Palliative Mustard or Rastelli operation in complete transposition of the great arteries. Option decided by lung biopsy.
MedLine Citation:
PMID:  431101     Owner:  NLM     Status:  MEDLINE    
A case history is reported of a patient with complete transposition of the great arteries and a ventricular septal defect in whom pulmonary hypertension developed, with a pulmonary resistence of 10 units M.2. Because of the possibility that the pulmonary vascular obstructive disease might have been of recent onset and that a high hematocrit value of 82 percent may have interfered with the precise determination of pulmonary resistance, an open lung biopsy was performed. The histologic findings suggested that the vascular disease was as yet reversible. Because of these findings and the aforementioned considerations, a Rastelli operation was performed instead of a palliative Mustard procedure. At present, 6 months postoperatively, the patient is asymptomatic.
C Marcelletti; C A Wagenvoort; T G Losekoot; A E Becker
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  77     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1979 May 
Date Detail:
Created Date:  1979-06-29     Completed Date:  1979-06-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  677-81     Citation Subset:  AIM; IM    
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MeSH Terms
Follow-Up Studies
Heart Septal Defects, Ventricular / complications
Hypertension, Pulmonary / etiology,  pathology*
Lung / pathology*,  radiography
Pulmonary Circulation
Transposition of Great Vessels / complications,  pathology,  surgery*
Vascular Resistance

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