PMID- 3632091
OWN - NLM
STAT- MEDLINE
DCOM- 19871014
LR  - 20190514
IS  - 0003-4932 (Print)
IS  - 1528-1140 (Electronic)
IS  - 0003-4932 (Linking)
VI  - 206
IP  - 3
DP  - 1987 Sep
TI  - Results with the Mustard operation in simple transposition of the great arteries 
      1963-1985.
PG  - 251-60
AB  - From May 1963 to December 1985, 329 infants and children underwent repair of 
      simple transposition of the great arteries (TGA) using Mustard's technique. To 
      assess improvement, the patients were separated into two groups by date of 
      operation: Group I, May 1963 to December 1973 (N = 106), and Group II, January 
      1974 to December 1985 (N = 223). The operative mortality was 11 (10.4%) in Group 
      I and two (0.9%) in Group II. The 10-year actuarial survival rate was 73.4% in 
      Group I and 93.7% in Group II. Baffle complications, similar in both groups, were 
      identified in 81 patients; 19 were major, causing death or requiring reoperation. 
      By latest electrocardiogram, 21 of 45 (46.7%) of Group I patients and 129 of 180 
      (71.7%) of Group II patients were in normal sinus rhythm. Late ambulatory 
      electrocardiography, however, revealed that a majority of patients had sinus node 
      dysfunction or other dysrhythmias. Right ventricular (RV) angiography revealed 
      definite diminution of RV contractility in 14 (11%) of 126 children. At late 
      follow-up, 113 of 148 (76%) children were in New York Heart Association (NYHA) 
      Class I and 35 of 148 (24%) were in NYHA Class II. Thirty-five (21%) patients 
      were on cardiac medication chiefly for dysrhythmia management. There has been 
      significant improvement in the early and late mortality with the Mustard 
      operation, and serious baffle complications are infrequent. Dysrhythmias continue 
      to be a major problem but the surviving patients are clinically well and 
      relatively few have significant RV dysfunction.
FAU - Trusler, G A
AU  - Trusler GA
FAU - Williams, W G
AU  - Williams WG
FAU - Duncan, K F
AU  - Duncan KF
FAU - Hesslein, P S
AU  - Hesslein PS
FAU - Benson, L N
AU  - Benson LN
FAU - Freedom, R M
AU  - Freedom RM
FAU - Izukawa, T
AU  - Izukawa T
FAU - Olley, P M
AU  - Olley PM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Ann Surg
JT  - Annals of surgery
JID - 0372354
SB  - IM
MH  - Actuarial Analysis
MH  - Adolescent
MH  - Cardiac Catheterization
MH  - Child
MH  - Child, Preschool
MH  - Electrocardiography
MH  - Follow-Up Studies
MH  - Heart Ventricles/physiopathology
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Methods
MH  - Muscle Contraction
MH  - Postoperative Complications/mortality
MH  - Transposition of Great Vessels/mortality/physiopathology/*surgery
PMC - PMC1493177
EDAT- 1987/09/01 00:00
MHDA- 1987/09/01 00:01
PMCR- 1988/03/01
CRDT- 1987/09/01 00:00
PHST- 1987/09/01 00:00 [pubmed]
PHST- 1987/09/01 00:01 [medline]
PHST- 1987/09/01 00:00 [entrez]
PHST- 1988/03/01 00:00 [pmc-release]
AID - 10.1097/00000658-198709000-00003 [doi]
PST - ppublish
SO  - Ann Surg. 1987 Sep;206(3):251-60. doi: 10.1097/00000658-198709000-00003.