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The Annals of Thoracic Surgery, Vol 39, 112-115, Copyright © 1985 by The Society of Thoracic Surgeons
IL Kron, KS Rheuban, AW Joob, R Jedeiken, RM Mentzer, MA Carpenter and SP Nolan
Baffle obstruction developed in 11 patients after they had undergone the
Mustard procedure. Eight of them required operative revision. The cause of
the baffle obstruction seemed to be related to patient age (less than 1
year) and to the use of Dacron for the baffle but not to the shape of the
baffle. A technique of revision that involves widely opening the previously
placed baffle and enlarging it and the atriotomy with
polytetrafluoroethylene was employed for the last 6 patients. All 5
survivors of this operation had good long-term results without recurrence.
ARTICLES
Baffle obstruction following the Mustard operation: cause and treatment
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