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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
|
| pubmed:dateCreated |
1994-12-6
|
| pubmed:abstractText |
Most adolescents and young adults born with complete transposition of the great arteries (TGA) and alive today are survivors of the Mustard operation. This study reports on the serial, long-term (from 10 to > 20 years) follow-up of 85 patients who underwent this operation between 1971 and 1981. Of these, 63 had simple and 22 complex TGA. The age at surgery ranged from 2 days to 17 years. The early mortality rate was 10.5% and the late mortality 9.2%. The actuarial survival rate after 15 years was 86% for simple and 64% for complex TGA. Event-free survival after 15 years was 77% for simple and 46% for complex TGA. Yearly review of electrocardiograms and, less frequently, of Holter tracings disclosed a lower mean resting heart rate and decrease over time in sinus rhythm and an increase in active arrhythmias. Fifty-two percent had resting sinus rhythm and 17% had active arrhythmias at 16 to 20 years of follow-up. Exercise stress testing in 21 patients revealed resumption of sinus rhythm during exercise but significant diminution of endurance time and peak heart rate response. Seven of the survivors (9.2%) required reoperation. Of these, 4 had severe tricuspid regurgitation following patch closure of ventricular septal defect. This study shows gratifying long-term and event-free survival for the majority of patients who underwent surgery by this venous switch procedure.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0002-9149
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
15
|
| pubmed:volume |
74
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1030-6
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:7977042-Actuarial Analysis,
pubmed-meshheading:7977042-Adolescent,
pubmed-meshheading:7977042-Adult,
pubmed-meshheading:7977042-Child,
pubmed-meshheading:7977042-Child, Preschool,
pubmed-meshheading:7977042-Echocardiography,
pubmed-meshheading:7977042-Electrocardiography,
pubmed-meshheading:7977042-Exercise Test,
pubmed-meshheading:7977042-Female,
pubmed-meshheading:7977042-Follow-Up Studies,
pubmed-meshheading:7977042-Heart Rate,
pubmed-meshheading:7977042-Hemodynamics,
pubmed-meshheading:7977042-Humans,
pubmed-meshheading:7977042-Infant,
pubmed-meshheading:7977042-Infant, Newborn,
pubmed-meshheading:7977042-Male,
pubmed-meshheading:7977042-Reoperation,
pubmed-meshheading:7977042-Survival Analysis,
pubmed-meshheading:7977042-Time Factors,
pubmed-meshheading:7977042-Transposition of Great Vessels,
pubmed-meshheading:7977042-Treatment Outcome,
pubmed-meshheading:7977042-Vascular Surgical Procedures
|
| pubmed:year |
1994
|
| pubmed:articleTitle |
Late follow-up after venous switch operation (Mustard procedure) for simple and complex transposition of the great arteries.
|
| pubmed:affiliation |
Dr. Mary Allen Engle Division of Pediatric Cardiology, New York Hospital-Cornell University Medical College, New York.
|
| pubmed:publicationType |
Journal Article
|