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Protein-losing enteropathy caused by baffle obstruction after Mustard's operation
C R Kirk1, J L Gibbs, J L Wilkinson
1Department of Paediatric Cardiology, Royal Liverpool Children's Hospital.
British Heart Journal
|January 1, 1988
Summary
Protein-losing enteropathy can complicate Mustard
Area of Science:
- Cardiology
- Pediatric Surgery
Background:
- The Mustard operation is a palliative surgical procedure for complex cyanotic heart disease.
- Intra-atrial baffle obstruction can lead to systemic venous hypertension.
Observation:
- Three patients developed protein-losing enteropathy (PLE) following Mustard's operation.
- This complication was attributed to intra-atrial obstruction of systemic venous return.
Findings:
- One patient's PLE resolved after surgical reintervention.
- Two patients experienced resolution of PLE following balloon dilatation of stenosed caval pathways.
- Balloon dilatation proved effective in relieving baffle obstruction.
Implications:
- Protein-losing enteropathy is a recognized complication of Mustard's operation.
- Balloon dilatation offers a less invasive and effective alternative to reoperation for managing this complication.
- This highlights the importance of monitoring for and timely intervention in post- Mustard complications.