Mustard or Senning procedure
| Measure right (systemic) ventricular size and assess function |
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| Assess systemic atrioventricular (tricuspid) regurgitation |
| Use colour flow imaging to assess systemic or venous baffle obstruction |
| Use colour flow imaging to determine presence of baffle leak |
| If appropriate use contrast to look for obstruction or leak |
| Assess pulmonary pressure from velocity of mitral regurgitation |
| Exclude left ventricular outflow tract obstruction |
| Use transoesophageal imaging if precordial ones are not satisfactory |
| Remember the right ventricle is the systemic one and the left the pulmonary |