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Ann Thorac Surg 2002;73:975-977
© 2002 The Society of Thoracic Surgeons

Case report

Successful arterial switch operation for post-mustard pulmonary venous obstruction and secondary pulmonary hypertension

Masahiro Inoue, MDa, Osamu Oba, MD*a, Sadahiko Arai, MDa, Takeshi Shichijo, MDa, Taiichi Takasaki, MDa

a Department of Cardiovascular Surgery, Hiroshima City Hospital, Hiroshima, Japan

Accepted for publication March 2, 2001.

* Address reprint requests to Dr Oba, Department of Cardiovascular Surgery, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima 730-8518, Japan
e-mail: oosamu{at}circus.ocn.ne.jp

A 16-year-old girl presented with dyspnea 15 years after the Mustard operation for transposition of the great arteries with intact ventricular septum. An echocardiogram revealed secondary pulmonary hypertension due to pulmonary venous obstruction. Cardiac catheterization showed the left (pulmonary) ventricular pressure was over the systemic level. We performed a successful one-stage switch conversion. The patient is doing well 1 year after the switch conversion.






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