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. 1987 Aug;58(2):148–155. doi: 10.1136/hrt.58.2.148

Transposition of the great arteries: late results in adolescents and adults after the Mustard procedure.

C A Warnes, J Somerville
PMCID: PMC1277294  PMID: 3620254

Abstract

A selected group of 18 patients aged 15-27 years with transposition of the great arteries and a previous Mustard procedure were evaluated to determine their functional ability and clinical state. Arrhythmias were common, occurring at some time in 16/18 (89%). Arrhythmia was serious in four; two of them required pacing and two had cardiac arrests, one resulting in death. Seven (41%) had right ventricular dysfunction; this was progressive in three. Tricuspid regurgitation was present in seven (41%); it occurred in patients with normal and reduced right ventricular ejection fractions. Regurgitation became progressively worse as the right ventricle dilated. Left ventricular function was well preserved in most patients. Fourteen (82%) of this pioneer group were leading normal lives (ability index 1 or 2). Although these results are acceptable concern remains about the probability of deteriorating right ventricular function.

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Selected References

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

  1. 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]
  2. 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]
  3. El-Said G. M., Gillette P. C., Mullins C. E., Nihill M. R., McNamara D. G. Significance of pacemaker recovery time after the Mustard operation for transposition of the great arteries. Am J Cardiol. 1976 Oct;38(4):448–451. doi: 10.1016/0002-9149(76)90461-6. [DOI] [PubMed] [Google Scholar]
  4. Gillette P. C., el-Said G. M., Sivarajan N., Mullins C. E., Williams R. L., McNamara D. G. Electrophysiological abnormalities after Mustard's operation for transposition of the great arteries. Br Heart J. 1974 Feb;36(2):186–191. doi: 10.1136/hrt.36.2.186. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Godman M. J., Friedli B., Pasternac A., Kidd B. S., Trusler G. A., Mustard W. T. Hemodynamic studies in children four to ten years after the Mustard operation for transposition of the great arteries. Circulation. 1976 Mar;53(3):532–538. doi: 10.1161/01.cir.53.3.532. [DOI] [PubMed] [Google Scholar]
  6. Hagler D. J., Ritter D. G., Mair D. D., Tajik A. J., Seward J. B., Fulton R. E., Ritman E. L. Right and left ventricular function after the Mustard procedure in transposition of the great arteries. Am J Cardiol. 1979 Aug;44(2):276–283. doi: 10.1016/0002-9149(79)90317-5. [DOI] [PubMed] [Google Scholar]
  7. Hayes C. J., Gersony W. M. Arrhythmias after the Mustard operation for transposition of the great arteries: a long-term study. J Am Coll Cardiol. 1986 Jan;7(1):133–137. doi: 10.1016/s0735-1097(86)80270-4. [DOI] [PubMed] [Google Scholar]
  8. Lewis A. B., Lindesmith G. G., Takahashi M., Stanton R. E., Tucker B. L., Stiles Q. R., Meyer B. W. Cardiac rhythm following the Mustard procedure for transposition of the great vessels. J Thorac Cardiovasc Surg. 1977 Jun;73(6):919–926. [PubMed] [Google Scholar]
  9. MUSTARD W. T. SUCCESSFUL TWO-STAGE CORRECTION OF TRANSPOSITION OF THE GREAT VESSELS. Surgery. 1964 Mar;55:469–472. [PubMed] [Google Scholar]
  10. Mee R. B. Severe right ventricular failure after Mustard or Senning operation. Two-stage repair: pulmonary artery banding and switch. J Thorac Cardiovasc Surg. 1986 Sep;92(3 Pt 1):385–390. [PubMed] [Google Scholar]
  11. Murphy J. H., Barlai-Kovach M. M., Mathews R. A., Beerman L. B., Park S. C., Neches W. H., Zuberbuhler J. R. Rest and exercise right and left ventricular function late after the Mustard operation: assessment by radionuclide ventriculography. Am J Cardiol. 1983 May 15;51(9):1520–1526. doi: 10.1016/0002-9149(83)90669-0. [DOI] [PubMed] [Google Scholar]
  12. Park S. C., Neches W. H., Mathews R. A., Fricker F. J., Beerman L. B., Fischer D. R., Lenox C. C., Zuberbuhler J. R. Hemodynamic function after the Mustard operation for transposition of the great arteries. Am J Cardiol. 1983 May 15;51(9):1514–1519. doi: 10.1016/0002-9149(83)90668-9. [DOI] [PubMed] [Google Scholar]
  13. Saalouke M. G., Rios J., Perry L. W., Shapiro S. R., Scott L. P. Electrophysiologic studies after mustard's operation for d-transposition of the great vessels. Am J Cardiol. 1978 May 22;41(6):1104–1109. doi: 10.1016/0002-9149(78)90864-0. [DOI] [PubMed] [Google Scholar]
  14. 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]
  15. 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]
  16. Warnes C. A., Somerville J. Tricuspid atresia in adolescents and adults: current state and late complications. Br Heart J. 1986 Dec;56(6):535–543. doi: 10.1136/hrt.56.6.535. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Yao S. T., Gourmos C., Hobbs J. T. Detection of proximal-vein thrombosis by Doppler ultrasound flow-detection method. Lancet. 1972 Jan 1;1(7740):1–4. doi: 10.1016/s0140-6736(72)90001-3. [DOI] [PubMed] [Google Scholar]
  18. el-Said G., Rosenberg H. S., Mullins C. E., Hallman G. L., Cooley D. A., McNamara D. G. Dysrhythmias after Mustard's operation for transposition of the treat arteries. Am J Cardiol. 1972 Oct;30(5):526–532. doi: 10.1016/0002-9149(72)90043-4. [DOI] [PubMed] [Google Scholar]

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