Mustard procedure

Mustard procedure
ICD-9-CM35.91

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.

The procedure was developed to treat transposition of the great vessels, eponymously known as blue baby syndrome. This is a condition in which the aorta and pulmonary artery are attached to the heart in an opposite order from what is usually present at birth, resulting in the aorta being the outflow tract for the right ventricle and the pulmonary artery serving as the outgoing path for blood from the left ventricle.[1] The technique was adopted by other surgeons and became the standard operation for the dextro variant of transposition.[2]

The procedure was developed with support from the Heart and Stroke Foundation of Canada.

In his autobiography, South African cardiac surgeon Christiaan Barnard claims to have been the first to perform the operation, with Mustard only following 'several years later'.[3]

  1. ^ Ken Heiden (2009-07-01). Congenital Heart Defects, Simplified. Midwest EchoSolutions. pp. 63–. ISBN 978-0-9822709-0-5.
  2. ^ Love, Barry A; Mehta, Davendra; Fuster, Valentin F (2008). "Evaluation and management of the adult patient with transposition of the great arteries following atrial-level (Senning or Mustard) repair". Nature Clinical Practice Cardiovascular Medicine. 5 (8): 454–467. doi:10.1038/ncpcardio1252. ISSN 1743-4297. PMID 18594551. S2CID 10491740.
  3. ^ Barnard, Christiaan N. (1969). One Life. Bantam. p. 213. ISBN 9780552659888