HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Bechara Akl Jorge Wernly Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Dillon, T. Articles by Wernly, J. Search for Related Content PubMed PubMed Citation Articles by Dillon, T. Articles by Wernly, J.

Ann Thorac Surg 1986;41:146-149
© 1986 The Society of Thoracic Surgeons

---

Articles

Communicating Hydrocephalus: A Reversible Complication of the Mustard Operation with Serial Hemodynamics and Long-term Follow-up

Departments of Pediatrics, Radiology, and Surgery, the University of New Mexico School of Medicine, Albuquerque, NM

Accepted for publication March 25, 1985.

^* Address reprint requests to Dr. Dillon, Children's Medical Center, One Children's Plaza, Dayton, OH 45404

Severe superior vena caval (SVC) obstruction following the Mustard operation resulted in substantially increased intracranial pressure in 3 patients. A pathophysiological mechanism is postulated to explain the cerebral edema in 1 and the communicating hydrocephalus in 2. Following surgical relief of the obstruction in the latter 2, there was a decrease in both the rate of head growth and the ventricular size. It is of note that despite the angiographic appearance of azygous decompression, the pressure elevation from the SVC obstruction was transmitted to the brain. The long-term follow-up at three and four years of the 2 infants with communicating hydrocephalus suggests that aggressive treatment is compatible with a favorable outcome.