Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1988 Apr;59(4):468–473. doi: 10.1136/hrt.59.4.468

Intermediate to late term results of Mustard's procedure for complete transposition of the great arteries with an intact ventricular septum.

F J Darvell 1, I R Rossi 1, M B Rossi 1, P Fayers 1, R H Anderson 1, M L Rigby 1, E A Shinebourne 1, C Lincoln 1
PMCID: PMC1216493  PMID: 3370181

Abstract

Overall survival after Mustard's operation was assessed in 130 patients with complete transposition of the great arteries and an intact ventricular septum who were operated on at the Brompton Hospital in the 12 year period from January 1974 to December 1985. Actuarial analysis showed a survival at five years of 79.1% (25 deaths in 130 patients). Half the deaths occurred within a month of operation and half up to five years later. Operation under the age of three months carried a greater mortality (six deaths in 11 patients). Statistical analysis showed that these survival figures were consistent throughout the series and did not alter with the year of operation. In the light of recent trends in treatment of this lesion, it is concluded that for neonates an arterial switch procedure is now likely to carry the best chance of long term success. For the patient who presents after the age of three months, however, there may still be a place for the Mustard procedure.

Full text

PDF
468

Selected References

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

  1. Gutgesell H. P., Garson A., McNamara D. G. Prognosis for the newborn with transposition of the great arteries. Am J Cardiol. 1979 Jul;44(1):96–100. doi: 10.1016/0002-9149(79)90256-x. [DOI] [PubMed] [Google Scholar]
  2. Kanter K. R., Anderson R. H., Lincoln C., Rigby M. L., Shinebourne E. A. Anatomic correction for complete transposition and double-outlet right ventricle. J Thorac Cardiovasc Surg. 1985 Nov;90(5):690–699. [PubMed] [Google Scholar]
  3. Mahony L., Turley K., Ebert P., Heymann M. A. Long-term results after atrial repair of transposition of the great arteries in early infancy. Circulation. 1982 Aug;66(2):253–258. doi: 10.1161/01.cir.66.2.253. [DOI] [PubMed] [Google Scholar]
  4. Mok Q., Darvell F., Mattos S., Smith T., Fayers P., Rigby M. L., Shinebourne E. A. Survival after balloon atrial septostomy for complete transposition of great arteries. Arch Dis Child. 1987 Jun;62(6):549–553. doi: 10.1136/adc.62.6.549. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Peto R., Pike M. C., Armitage P., Breslow N. E., Cox D. R., Howard S. V., Mantel N., McPherson K., Peto J., Smith P. G. Design and analysis of randomized clinical trials requiring prolonged observation of each patient. I. Introduction and design. Br J Cancer. 1976 Dec;34(6):585–612. doi: 10.1038/bjc.1976.220. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Peto R., Pike M. C., Armitage P., Breslow N. E., Cox D. R., Howard S. V., Mantel N., McPherson K., Peto J., Smith P. G. Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. analysis and examples. Br J Cancer. 1977 Jan;35(1):1–39. doi: 10.1038/bjc.1977.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Pritchett E. L., Smith M. S., McCarthy E. A., Lee K. L. The spontaneous occurrence of paroxysmal supraventricular tachycardia. Circulation. 1984 Jul;70(1):1–6. doi: 10.1161/01.cir.70.1.1. [DOI] [PubMed] [Google Scholar]
  8. Quaegebeur J. M., Rohmer J., Ottenkamp J., Buis T., Kirklin J. W., Blackstone E. H., Brom A. G. The arterial switch operation. An eight-year experience. J Thorac Cardiovasc Surg. 1986 Sep;92(3 Pt 1):361–384. [PubMed] [Google Scholar]
  9. Sidi D., Planché C., Kachaner J., Bruniaux J., Villain E., le Bidois J., Piéchaud J. F., Lacour-Gayet F. Anatomic correction of simple transposition of the great arteries in 50 neonates. Circulation. 1987 Feb;75(2):429–435. doi: 10.1161/01.cir.75.2.429. [DOI] [PubMed] [Google Scholar]
  10. 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]
  11. Turley K., Ebert P. A. Total correction of transposition of the great arteries. Conduction disturbances in infants younger than three months of age. J Thorac Cardiovasc Surg. 1978 Sep;76(3):312–320. [PubMed] [Google Scholar]
  12. Ullal R. R., Anderson R. H., Lincoln C. Mustard's operation modified to avoid dysrhythmias and pulmonary and systemic venous obstruction. J Thorac Cardiovasc Surg. 1979 Sep;78(3):431–439. [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES