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Indeed, the Senning technique was difficult to reproduce and was not widely embraced. [citation needed] In 1963, Mustard described an alternative technique, the Mustard procedure, in which the atrial septum is excised, and the atrial baffle is created by the placement of a single elephant trunk-shaped patch made of pericardial tissue. This ...
Two variants of the atrial switch operation developed – the Senning procedure (1950s) which uses the patient's own tissue (pericardium) to construct the baffle, and the Mustard procedure (1960s), which uses a synthetic material. [4] It has largely been replaced by the arterial switch operation. [4]
The Mustard procedure was developed in 1963 by Dr. William Mustard at the Hospital for Sick Children.It is similar to the previous atrial baffle used with a Senning procedure, the primary difference being that the Mustard uses a graft made of Dacron or pericardium, while the Senning uses native heart tissue.
Arterial switch operation (ASO) or arterial switch, is an open heart surgical procedure used to correct dextro-transposition of the great arteries (d-TGA). [1] [2]Its development was pioneered by Canadian cardiac surgeon William Mustard and it was named for Brazilian cardiac surgeon Adib Jatene, who was the first to use it successfully.
When an arterial switch is impossible, an atrial switch will be attempted using either the Senning or Mustard procedure. [7] Both methods involve creating a baffle to redirect red and blue blood flow to the appropriate artery. Since the late 1970s the Mustard procedure has been preferred.
In this scenario, a second procedure with an atrial switch is done after recovery from the first intervention. The atrial switch is done via either the Mustard procedure, in which the atrial septum is cut out and a baffle is made with the pericardial baffle, or a Senning procedure, in which the atrial septum itself is used to create the baffle.
Åke Senning, Swedish heart surgeon. Åke Senning (14 December 1915 in Rättvik, Sweden – 21 July 2000 in Zurich, Switzerland) was a Swedish cardiac surgeon who worked at University Hospital of Zürich from 1961 until his retirement in 1985.
Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons.It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, rheumatic heart disease, [1] and ...