HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bink-Boelkens, M. T. Articles by Mooyaart, E. L. Search for Related Content PubMed PubMed Citation Articles by Bink-Boelkens, M. T. Articles by Mooyaart, E. L.

The Annals of Thoracic Surgery, Vol 47, 45-50, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

The asymptomatic child a long time after the Mustard operation for transposition of the great arteries

MT Bink-Boelkens, A Bergstra, AH Cromme-Dijkhuis, A Eygelaar, MJ Landsman and EL Mooyaart
Department of Pediatrics, University of Groningen, the Netherlands.

We studied 36 asymptomatic children 7.7 +/- 2.5 years after a Mustard operation. Fifteen children had sinus rhythm on all electrocardiograms made during follow-up. Only 2 had normal 24-hour Holter recordings throughout follow-up, 6 had periods of supraventricular tachycardia, and 3 had periods of atrial flutter. The electrophysiological evaluation of sinus node function was normal in 5 of the 31 children who were studied. The behavior of the atrial myocardium was electrophysiologically abnormal in most of the children. Atrioventricular node function, on the contrary, was normal in nearly all of the children. Eleven children had normal hemodynamics. Four had severe or complete obstruction of the superior vena cava, 1 had a severe pulmonary venous obstruction, 3 had a severe left ventricular outflow tract obstruction, and 2 had a large left-to-right shunt. Only 3 children had normal hemodynamic and electrophysiological studies. We conclude that the absence of symptoms and a normal routine examination of children a long time after a Mustard operation does not exclude hemodynamic and electrophysiological abnormalities, which can sometimes be severe. In view of these disappointing results, we decided to replace the Mustard operation with the arterial switch operation in children with transposition of the great arteries.

This article has been cited by other articles:

				J. A.E. Kammeraad, C. H.M. van Deurzen, N. Sreeram, M. Th.E. Bink-Boelkens, J. Ottenkamp, W. A. Helbing, J. Lam, M. A. Sobotka-Plojhar, O. Daniels, and S. Balaji Predictors of sudden cardiac death after mustard or senning repair for transposition of the great arteries J. Am. Coll. Cardiol., September 1, 2004; 44(5): 1095 - 1102. [Abstract] [Full Text] [PDF]

				T. W. Waterbolk, M. Th.E. Bink-Boelkens, N. J. Elzenga, G. C.M. Beaufort-Krol, and T. Ebels The right auricle tunnel as intercaval tunnel in total cavopulmonary connection may prevent atrial flutter Eur. J. Cardiothorac. Surg., December 1, 1998; 14(6): 590 - 595. [Abstract] [Full Text] [PDF]

				J. L. Myers Transposition of the Great Arteries Ann. Thorac. Surg., March 1, 1997; 63(3): 895 - 898. [Full Text]

				F. Meijboom, A. Szatmari, J. W. Deckers, E. M. W. J. Utens, J. R. T. C. Roelandt, E. Bos, and J. Hess LONG-TERM FOLLOW-UP (10 TO 17 YEARS) AFTER MUSTARD REPAIR FOR TRANSPOSITION OF THE GREAT ARTERIES J. Thorac. Cardiovasc. Surg., June 1, 1996; 111(6): 1158 - 1168. [Abstract] [Full Text]

				C. H. Lorenz, E. S. Walker, T. P. Graham Jr, and T. A. Powers Right Ventricular Performance and Mass by Use of Cine MRI Late After Atrial Repair of Transposition of the Great Arteries Circulation, November 1, 1995; 92(9): 233 - 239. [Abstract] [Full Text]