Key result
Review details a standardized step-by-step surgical technique for the Mustard atrial switch operation.
Why the study?
There is a scarcity of literature detailing the specific operative steps of the Mustard atrial switch operation despite its ongoing use in certain congenital heart conditions.
Provides a clear, step-by-step guide to the Mustard atrial switch operation to facilitate its understanding and adoption in the pediatric cardiac surgical community.
Answers are grounded in this paper and cite their sources.
Limited evidence supports atrial switch indications in ccTGA and late D-TGA; leaves open need for prospective trials.
The Mustard atrial switch procedure has been well documented since the 1960s and is generally considered easier to perform than the Senning procedure. In the current era, the atrial switch operation is primarily indicated as part of the anatomic correction of congenitally corrected transposition of the great arteries or for children with D-Transposition of the great arteries and an intact ventricular septum who present late with a regressed left ventricle, especially in developing regions. There is a scarcity of literature detailing the specific operative steps of the Mustard atrial switch operation. In this article, we present our surgical technique in a clear, step-by-step format, to facilitate understanding and encourage broader adoption within the paediatric cardiac surgical community.
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Raju et al. (2026) conducted a review in Congenitally corrected transposition of the great arteries or D-Transposition of the great arteries. Mustard atrial switch operation was evaluated. The article presents a step-by-step surgical technique for the Mustard atrial switch operation to facilitate understanding and broader adoption within the paediatric cardiac surgical community.
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