PMID: 8996314Jan 1, 1997Paper

Arrhythmia and mortality after the Mustard procedure: a 30-year single-center experience

Journal of the American College of Cardiology
M GelattR M Freedom

Abstract

Our purpose was to assess the risk factors for late mortality, loss of sinus rhythm and atrial flutter after the Mustard operation. The Mustard operation provides correction of cyanosis with low surgical risk in transposition of the great vessels. However, right ventricular failure, loss of sinus rhythm, atrial flutter and death are frequent long-term complications. Records of 534 children who underwent the Mustard operation at a single center since 1962 were reviewed for demographic, anatomic, electrocardiographic and physiologic predictors and outcomes. There were 52 early deaths (9.7%). Survival analysis was undertaken for 478 early survivors with a mean follow-up interval of 11.6 +/- 7.2 years. There were 77 late deaths (16.1%), with sudden death (n = 31) the most frequent cause. Survival estimates were 89% at 5 years and 76% at 20 years of age. Risk factors were an earlier date of operation, operative period arrhythmia and an associated ventricular septal defect. Risk (hazard) of late death declined in the first decade, with further peaks in the second decade. Sinus rhythm was present in 77% at 5 years and 40% at 20 years. Loss of sinus rhythm was associated with previous septectomy, postoperative bradycardia and late atri...Continue Reading

References

Jul 1, 1991·International Journal of Cardiology·H H KramerW Bircks
Mar 1, 1989·International Journal of Cardiology·G R SutherlandJ Quaegebeur
Apr 1, 1989·AORN Journal·S K Blonshine
Jan 1, 1988·Scandinavian Journal of Thoracic and Cardiovascular Surgery·J BuchP Lauridsen
Dec 1, 1987·Journal of the American College of Cardiology·V L VetterL N Horowitz
Jan 1, 1986·Journal of the American College of Cardiology·C J Hayes, W M Gersony
Oct 1, 1972·The American Journal of Cardiology·G el-SaidD G McNamara
Jun 21, 1984·The New England Journal of Medicine·C J FlinnJ Kugler
Jun 1, 1980·The American Journal of Cardiology·P C GilletteD G McNamara
May 1, 1964·British Heart Journal·R M SHAHER

❮ Previous
Next ❯

Citations

Nov 27, 2004·Pediatric Cardiology·E C Kirkpatrick, R Hurwitz
May 9, 2007·Pediatric Cardiology·Sabine H Daebritz
Feb 10, 2012·Pediatric Cardiology·Fred H RodriguezChristopher S Snyder
Feb 23, 2012·Pediatric Cardiology·Robert W Elder, William E Hellenbrand
Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·K M Shannon
Aug 1, 2012·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·M M WinterB J M Mulder
Nov 14, 2000·The American Journal of Cardiology·E N OechslinS C Siu
Sep 19, 1998·Journal of the American College of Cardiology·N J WilsonJ M Neutze
Jun 20, 2001·Progress in Pediatric Cardiology·G F. Van Hare
Jul 18, 2001·Progress in Pediatric Cardiology·C J. Daniels, D P. Chan
Sep 21, 2006·Cardiology in the Young·Shanta Chakrabarti, Alan Graham Stuart
Feb 3, 2000·The New England Journal of Medicine·M E BricknerR A Lange
Aug 31, 2010·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Committee for Practice Guidelines (CPG)
Jul 30, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Reginald LiewDavid Ward
Nov 26, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Petr PeichlRoman Gebauer
Apr 15, 2004·Annals of Surgery·Daniel J DibardinoCharles D Fraser
Aug 1, 1997·Pacing and Clinical Electrophysiology : PACE·G C Beaufort-Krol, M T Bink-Boelkens
Jan 1, 2010·Pediatric Health·Akash R Patel, Robert E Shaddy
May 15, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jimmy C LuPrachi P Agarwal
Oct 25, 2003·Lancet·Judith Therrien, Gary Webb
Apr 6, 2000·The Annals of Thoracic Surgery·C Mavroudis, C L Backer
Jun 22, 2014·Current Cardiology Reports·H Sawyer GillespieJordan M Prutkin
Jul 20, 2014·Revista Española De Cardiología·Andreu Porta-SánchezJaume Casaldàliga-Ferrer
Jun 2, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Andrea Nowitz
Sep 2, 2000·Journal of Cardiovascular Electrophysiology·M C SokoloskiF E Marchlinski
Aug 31, 1999·Journal of Cardiovascular Electrophysiology·M E AlexanderJ K Triedman
Oct 12, 1999·Journal of Cardiovascular Electrophysiology·J P Saul, M E Alexander

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.