PMID: 3767511Oct 1, 1986Paper

Fate of long-term survivors of Mustard procedure (inflow repair) for simple and complex transposition of the great arteries

The Annals of Thoracic Surgery
M H AshrafS Subramanian

Abstract

Between 1967 and 1976, 106 children with transposition of the great arteries (TGA) (55 simple, 51 complex) survived the Mustard procedure. Late death occurred in 8 patients (1 simple, 7 complex TGA). Cardiac arrhythmia developed in 31 patients, 6 of whom required a permanent pacemaker. Postoperative cardiac catheterization showed mild superior vena cava obstruction in 4 patients, mild pulmonary venous obstruction in 3, and baffle leak in 4. Only 1 of these patients underwent reoperation elsewhere for a baffle leak. Two other patients had reoperation for subpulmonary stenosis and 1, for tricuspid regurgitation. The actuarial survival at 18 years is 92 +/- 2.3%, and the event-free survival is 83 +/- 3.8% (95% confidence limits). Eighty-seven patients are in New York Heart Association Functional Class I, and 3 are in Class II. The results of this study show that the long-term survival and event-free survival have been satisfactory. Late death was significantly higher in patients with complex TGA (p = .027). Postoperative arrhythmia was common, but only 6 patients required permanent pacemakers and the incidence of late complications and reoperation has been low.

Citations

Mar 1, 1995·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M P RousseilK Rifat
Feb 5, 1998·Progress in Cardiovascular Diseases·M A Fogel, J Rychik
Jan 1, 1997·Journal of the American College of Cardiology·M GelattR M Freedom
Mar 6, 2007·Journal of the American College of Cardiology·Aphrodite TzifaRobert L Geggel
Dec 14, 1999·The Journal of Thoracic and Cardiovascular Surgery·M Barbero-MarcialM Ebaid
Jan 1, 1990·Circulation·W K ShenD M Ilstrup
Oct 24, 2019·Journal of the American Heart Association·Prashanth VenkateshHarsimran S Singh

❮ Previous
Next ❯

Related Concepts

Related Feeds

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.