XXXX after the Mustard operation for transposition of the great arteries: a long-term study.

@entity1 @entity944 @entity591 @entity74 @entity955 @entity4710 @entity943 @entity1168 @entity616
This study presents follow-up data on 95 @entity1 with transposition of the great arteries who underwent a Mustard intraatrial baffle operation. The @entity1 were followed up serially by means of scalar electrocardiograms and 24 hour Holter monitoring studies. The latter study was effective in documenting abnormal rhythm patterns when the standard electrocardiogram was within normal limits. Twenty percent of the @entity1 had @entity943 at the time of hospital discharge. new rhythm disturbances were recognized during each year of follow-up; 75% of the @entity1 had @entity74 by the sixth year. Slow junctional rhythm was the most common rhythm disturbance found. @entity616 did not occur. @entity4710 occurred within the context of the @entity591 / @entity1168 syndrome in 8 of 10 @entity1 , and in all it was documented after hospital discharge. The incidence of @entity944 in this series was 3%. Six of the @entity1 have had pacemaker insertions and there have been no deaths among these individuals. It was observed that the slow @entity955 that appeared after intraatrial correction of transposition of the great arteries rarely progressed to life-threatening @entity74 in childhood or adolescence, but the prognosis in adult life remains unknown. The three deaths in the series occurred in @entity1 with a history of supraventricular @entity591 . Elimination of @entity943 caused by extensive intraatrial surgery is one of the potential advantages of the arterial switch operation for correction of transposition of the great arteries.
