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The Annals of Thoracic Surgery, Vol 21, 304-310, Copyright © 1976 by The Society of Thoracic Surgeons
AE Urban, J Stark and DJ Waterston
Six patients were seen with complete left-sided juxtaposition of the atrial
appendages (LJAA) in a series of 366 consecutive Mustard operations for
transposition of the great arteries. All 6 patients had situs solitus of
the viscera and atria with concordant atrioventricular relationship.
D-transposition was present in 3 patients and L- transposition in the other
3; all 6 had associated cardiac anomalies. The diagnosis of LJAA was first
made at operation, although angiocardiographic recognition is possible. The
size of the right atrium is small in the presence of this anomaly, and
direct cannulation of the venae cavae and enlargement of the pulmonary
venous atrium are therefore recommended.
ARTICLES
Mustard's operation for transposition of the great arteries complicated by juxtaposition of the atrial appendages
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