{"title":"Double-switch procedure - Mustard atrial switch, arterial switch and ventricular septal defect closure.","authors":"Vijayakumar Raju, Hari Haran Krishnamurthi, Naveen Srinivasan, Rajalakshmi Moorthi, Sanchitha Guruchandrasekar, Kaushik Jothinath, Sridevi Sundararajan","doi":"10.1510/mmcts.2026.036","DOIUrl":null,"url":null,"abstract":"<p><p>The double-switch operation, which combines atrial and arterial switch procedures, provides the best anatomical repair for congenitally corrected transposition of the great arteries [1]. The available atrial switch options are the Senning and Mustard procedures. The Senning operation, which mainly uses native tissue, is performed more frequently [2]. The Mustard operation, by contrast, requires excision of the interatrial septum and insertion of a heterogeneous baffle to achieve the atrial switch [3,4]. Surgical videos showing a double-switch operation with a Mustard atrial switch are limited. This video tutorial demonstrates the technique of double-switch repair using a native pericardial Mustard atrial switch, along with ventricular septal defect closure and arterial switch operation, in a 3-year-old child with corrected transposition of the great arteries, ventricular septal defect and subpulmonary obstruction.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1510/mmcts.2026.036","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
The double-switch operation, which combines atrial and arterial switch procedures, provides the best anatomical repair for congenitally corrected transposition of the great arteries [1]. The available atrial switch options are the Senning and Mustard procedures. The Senning operation, which mainly uses native tissue, is performed more frequently [2]. The Mustard operation, by contrast, requires excision of the interatrial septum and insertion of a heterogeneous baffle to achieve the atrial switch [3,4]. Surgical videos showing a double-switch operation with a Mustard atrial switch are limited. This video tutorial demonstrates the technique of double-switch repair using a native pericardial Mustard atrial switch, along with ventricular septal defect closure and arterial switch operation, in a 3-year-old child with corrected transposition of the great arteries, ventricular septal defect and subpulmonary obstruction.
期刊介绍：
The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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