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Failing Mustard circulation with secondary pulmonary hypertension: mechanical assist device to achieve reverse pulmonary vascular remodelling for subsequent heart transplantation
  1. K Arendt1,
  2. S Doll2,
  3. F-W Mohr2
  1. 1Department of Paediatric Cardiology, University of Leipzig, Heart Center, Leipzig, Germany
  2. 2Department of Cardiac Surgery, University of Leipzig, Heart Center, Leipzig, Germany
  1. Correspondence to Katharina Arendt; katharina_arendt{at}

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We report a 28-year-old man with late systemic right ventricular failure and secondary pulmonary hypertension after Mustard operation for transposition of the great arteries, ventricular septal defect closure and implantation of a dual-chamber pacemaker for postoperative complete heart block at the age of 2. Severe tricuspid regurgitation and acute thrombosis of the superior vena cava necessitated reconstruction of the tricuspid valve and revision of the superior …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.