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. 1992 Mar;67(3):246–249. doi: 10.1136/hrt.67.3.246

Cardiac conduction abnormalities and rhythm changes after neonatal anatomical correction of transposition of the great arteries.

S Menahem 1, M S Ranjit 1, C Stewart 1, W J Brawn 1, R B Mee 1, J L Wilkinson 1
PMCID: PMC1024800  PMID: 1554542

Abstract

Seventy three infants who underwent neonatal anatomical correction for transposition of the great arteries with or without a ventricular septal defect were reviewed for evidence of conduction and rhythm abnormalities on preoperative and postoperative 12 lead electrocardiograms and during 24 hour Holter monitoring. There was a partial right bundle branch block pattern in 47% (29/62) of all patients and in 60% (24/40) of those with simple transposition. Complete right bundle branch block was noted in 21% including 5% with simple transposition. Holter monitoring showed sinus rhythm in all patients except three: one had episodes of supraventricular tachycardia, another an intermittent second degree heart block, and a third a complete heart block. Atrial extrasystoles were noted in 47% (29/62) of patients but were frequent in only three patients. Occasional unifocal ventricular extrasystoles were encountered in 37% (23/62) of patients and were frequent in a further 3% (2/62). Only one patient (2%) developed multifocal ventricular extrasystoles. The frequency of important cardiac arrhythmias after neonatal anatomical correction of transposition of the great arteries was 5%, significantly less than that reported after atrial inflow diversion for the same malformation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arensman F. W., Bostock J., Radley-Smith R., Yacoub M. H. Cardiac rhythm and conduction before and after anatomic correction of transposition of the great arteries. Am J Cardiol. 1983 Oct 1;52(7):836–839. doi: 10.1016/0002-9149(83)90424-1. [DOI] [PubMed] [Google Scholar]
  2. Arensman F. W., Radley-Smith R., Yacoub M. H., Lange P., Bernhard A., Sievers H. H., Heintzen P. Catheter evaluation of left ventricular shape and function 1 or more years after anatomic correction of transposition of the great arteries. Am J Cardiol. 1983 Nov 1;52(8):1079–1083. doi: 10.1016/0002-9149(83)90536-2. [DOI] [PubMed] [Google Scholar]
  3. Beerman L. B., Neches W. H., Fricker F. J., Mathews R. A., Fischer D. R., Park S. C., Lenox C. C., Zuberbuhler J. R. Arrhythmias in transposition of the great arteries after the Mustard operation. Am J Cardiol. 1983 May 15;51(9):1530–1534. doi: 10.1016/0002-9149(83)90671-9. [DOI] [PubMed] [Google Scholar]
  4. Borow K. M., Arensman F. W., Webb C., Radley-Smith R., Yacoub M. H. Assessment of left ventricular contractile state after anatomic correction of transposition of the great arteries. Circulation. 1984 Jan;69(1):106–112. doi: 10.1161/01.cir.69.1.106. [DOI] [PubMed] [Google Scholar]
  5. Brawn W. J., Mee R. B. Early results for anatomic correction of transposition of the great arteries and for double-outlet right ventricle with subpulmonary ventricular septal defect. J Thorac Cardiovasc Surg. 1988 Feb;95(2):230–238. [PubMed] [Google Scholar]
  6. Clarkson P. M., Barratt-Boyles B. G., Neutze J. M. Late dysrhythmias and disturbances of conduction following Mustard operation for complete transposition of the great arteries. Circulation. 1976 Mar;53(3):519–524. doi: 10.1161/01.cir.53.3.519. [DOI] [PubMed] [Google Scholar]
  7. Deanfield J., Camm J., Macartney F., Cartwright T., Douglas J., Drew J., de Leval M., Stark J. Arrhythmia and late mortality after Mustard and Senning operation for transposition of the great arteries. An eight-year prospective study. J Thorac Cardiovasc Surg. 1988 Oct;96(4):569–576. [PubMed] [Google Scholar]
  8. Fleming W. H. Why switch? J Thorac Cardiovasc Surg. 1979 Jul;78(1):1–2. [PubMed] [Google Scholar]
  9. Flinn C. J., Wolff G. S., Dick M., 2nd, Campbell R. M., Borkat G., Casta A., Hordof A., Hougen T. J., Kavey R. E., Kugler J. Cardiac rhythm after the Mustard operation for complete transposition of the great arteries. N Engl J Med. 1984 Jun 21;310(25):1635–1638. doi: 10.1056/NEJM198406213102504. [DOI] [PubMed] [Google Scholar]
  10. Gillette P. C., Kugler J. D., Garson A., Jr, Gutgesell H. P., Duff D. F., McNamara D. G. Mechanisms of cardiac arrhythmias after the Mustard operation for transposition of the great arteries. Am J Cardiol. 1980 Jun;45(6):1225–1230. doi: 10.1016/0002-9149(80)90482-8. [DOI] [PubMed] [Google Scholar]
  11. Henning H., Hardarson T., Francis G., O'Rourke R. A., Ryan W., Ross J., Jr Approach to the estimation of myocardial infarct size by analysis of precordial S-T segment and R wave maps. Am J Cardiol. 1978 Jan;41(1):1–8. doi: 10.1016/0002-9149(78)90124-8. [DOI] [PubMed] [Google Scholar]
  12. Lange P. E., Pulss W., Sievers H. H., Wessel A., Onnasch D. G., Bernhard A., Yacoub M. H., Heintzen P. H. Cardiac rhythm and conduction after two-stage anatomic correction of simple transposition of the great arteries. Thorac Cardiovasc Surg. 1986 Feb;34(1):22–24. doi: 10.1055/s-2007-1020366. [DOI] [PubMed] [Google Scholar]
  13. Martin R. P., Radley-Smith R., Yacoub M. H. Arrhythmias before and after anatomic correction of transposition of the great arteries. J Am Coll Cardiol. 1987 Jul;10(1):200–204. doi: 10.1016/s0735-1097(87)80180-8. [DOI] [PubMed] [Google Scholar]
  14. Martin T. C., Smith L., Hernandez A., Weldon C. S. Dysrhythmias following the Senning operation for dextro-transposition of the great arteries. J Thorac Cardiovasc Surg. 1983 Jun;85(6):928–932. [PubMed] [Google Scholar]
  15. Montague T. J., Taylor P. G., Stockton R., Roy D. L., Smith E. R. The spectrum of cardiac rate and rhythm in normal newborns. Pediatr Cardiol. 1982;2(1):33–38. doi: 10.1007/BF02265614. [DOI] [PubMed] [Google Scholar]
  16. Nagashima M., Matsushima M., Ogawa A., Ohsuga A., Kaneko T., Yazaki T., Okajima M. Cardiac arrhythmias in healthy children revealed by 24-hour ambulatory ECG monitoring. Pediatr Cardiol. 1987;8(2):103–108. doi: 10.1007/BF02079464. [DOI] [PubMed] [Google Scholar]
  17. Okuda H., Nakazawa M., Imai Y., Kurosawa H., Takanashi Y., Hoshino S., Takao A. Comparison of ventricular function after Senning and Jatene procedures for complete transposition of the great arteries. Am J Cardiol. 1985 Feb 15;55(5):530–534. doi: 10.1016/0002-9149(85)90241-3. [DOI] [PubMed] [Google Scholar]
  18. Oldham H. N., Jr Arterial repair of transposition. Ann Thorac Surg. 1981 Jul;32(1):1–3. doi: 10.1016/s0003-4975(10)61361-6. [DOI] [PubMed] [Google Scholar]
  19. Sandor G. S., Freedom R. M., Williams W. G., LeBlanc J., Trusler G., Patterson M. W., Ashmore P. G. Left ventricular systolic and diastolic function after two-stage anatomic correction of transposition of the great arteries. Am Heart J. 1988 Jun;115(6):1257–1262. doi: 10.1016/0002-8703(88)90018-x. [DOI] [PubMed] [Google Scholar]
  20. Sievers H. H., Lange P. E., Onnasch D. G., Radley-Smith R., Yacoub M. H., Heintzen P. H., Regensburger D., Bernhard A. Influence of the two-stage anatomic correction of simple transposition of the great arteries on left ventricular function. Am J Cardiol. 1985 Sep 15;56(8):514–519. doi: 10.1016/0002-9149(85)91176-2. [DOI] [PubMed] [Google Scholar]
  21. Southall D. P., Johnston F., Shinebourne E. A., Johnston P. G. 24-hour electrocardiographic study of heart rate and rhythm patterns in population of healthy children. Br Heart J. 1981 Mar;45(3):281–291. doi: 10.1136/hrt.45.3.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Southall D. P., Keeton B. R., Leanage R., Lam L., Joseph M. C., Anderson R. H., Lincoln C. R., Shinebourne E. A. Cardiac rhythm and conduction before and after Mustard's operation for complete transposition of the great arteries. Br Heart J. 1980 Jan;43(1):21–30. doi: 10.1136/hrt.43.1.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Southall D. P., Orrell M. J., Talbot J. F., Brinton R. J., Vulliamy D. G., Johnson A. M., Keeton B. R., Anderson R. H., Shinebourne E. A. Study of cardiac arrhythmias and other forms of conduction abnormality in newborn infants. Br Med J. 1977 Sep 3;2(6087):597–599. doi: 10.1136/bmj.2.6087.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Southall D. P., Richards J., Mitchell P., Brown D. J., Johnston P. G., Shinebourne E. A. Study of cardiac rhythm in healthy newborn infants. Br Heart J. 1980 Jan;43(1):14–20. doi: 10.1136/hrt.43.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Stark J. Transposition of the great arteries: which operation? Ann Thorac Surg. 1984 Nov;38(5):429–431. doi: 10.1016/s0003-4975(10)64177-x. [DOI] [PubMed] [Google Scholar]
  26. Williams W. G., Freedom R. M., Culham G., Duncan W. J., Olley P. M., Rowe R. D., Trusler G. A. Early experience with arterial repair of transposition. Ann Thorac Surg. 1981 Jul;32(1):8–15. doi: 10.1016/s0003-4975(10)61364-1. [DOI] [PubMed] [Google Scholar]
  27. Williams W. G., Trusler G. A., Kirklin J. W., Blackstone E. H., Coles J. G., Izukawa T., Freedom R. M. Early and late results of a protocol for simple transposition leading to an atrial switch (Mustard) repair. J Thorac Cardiovasc Surg. 1988 Apr;95(4):717–726. [PubMed] [Google Scholar]

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