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

This Article Full Text 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 Meijboom, F. Articles by Hess, J. Search for Related Content PubMed PubMed Citation Articles by Meijboom, F. Articles by Hess, J.

J Thorac Cardiovasc Surg 1996;111:1158-1168
© 1996 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

LONG-TERM FOLLOW-UP (10 TO 17 YEARS) AFTER MUSTARD REPAIR FOR TRANSPOSITION OF THE GREAT ARTERIES

F. M. supported by grant JH 8802 from the Netherlands Heart Foundation.

Received for publication March 8, 1995; Accepted for publication July 5, 1995. Address for reprints: Folkert Meijboom, MD, Sophia Children's Hospital, Dr Molewater plein 60, 3015 GJ Rotterdam, The Netherlands.

Abstract

Background: The management strategies of patients who underwent Mustard repair for transposition of the great arteries were changed in the 1970s: infants became eligible for direct surgical repair, so Blalock-Hanlon atrioseptostomy could be avoided, and cold cardioplegia was introduced for myocardial preservation. Data are lacking, however, regarding whether these changes have had positive effects on the long-term outcome. We therefore conducted a follow-up study on all 91 patients who underwent a Mustard repair for transposition of the great arteries in our institution between 1973 and 1980 to assess the incidence and clinical importance of sequelae as well as health-related quality of life for these patients. Methods: Patients who were alive and could be traced through local registrar's offices received an invitation to participate in the follow-up study, which consisted of an interview, physical examination, echocardiography, exercise testing, and standard 12-lead and 24-hour electrocardiography. Results: Patients operated on in the first 4 years had a significantly higher mortality rate and higher incidence of sinus node dysfunction than did patients operated on in the subsequent 4 years (25% vs 2% and 41% vs 3%, respectively). In contrast, the incidence of baffle obstruction necessitating reoperation was significantly higher in the second group. There were no significant differences in echocardiographic findings and exercise capacity between patients operated on in the first 4 years and in the subsequent 4 years. None of the patients had right ventricular failure; a mild degree of baffle leakage or obstruction was seen in 22% of the patients, and the mean exercise capacity was decreased to 84% ± 16% of normal. Conclusion: The changes introduced between 1973 and 1980 have resulted in a considerable reduction of mortality and incidence of sinus node dysfunction but have also resulted in a more frequent need for reoperation. (J THORAC CARDIOVASC SURG 1996;111:1158-68)

This article has been cited by other articles:

				A. Gratz, J. Hess, and A. Hager Self-estimated physical functioning poorly predicts actual exercise capacity in adolescents and adults with congenital heart disease Eur. Heart J., February 2, 2009; 30(4): 497 - 504. [Abstract] [Full Text] [PDF]

				S Fratz, M Hauser, F M Bengel, A Hager, H Kaemmerer, M Schwaiger, J Hess, and H C Stern Myocardial scars determined by delayed-enhancement magnetic resonance imaging and positron emission tomography are not common in right ventricles with systemic function in long-term follow up Heart, November 1, 2006; 92(11): 1673 - 1677. [Abstract] [Full Text] [PDF]

				P Moons, K Van Deyk, S De Geest, M Gewillig, and W Budts Is the severity of congenital heart disease associated with the quality of life and perceived health of adult patients? Heart, September 1, 2005; 91(9): 1193 - 1198. [Abstract] [Full Text] [PDF]

				A Hager and J Hess Comparison of health related quality of life with cardiopulmonary exercise testing in adolescents and adults with congenital heart disease Heart, April 1, 2005; 91(4): 517 - 520. [Abstract] [Full Text] [PDF]

				P. Moons, K. Van Deyk, W. Budts, and S. De Geest Caliber of Quality-of-Life Assessments in Congenital Heart Disease: A Plea for More Conceptual and Methodological Rigor Arch Pediatr Adolesc Med, November 1, 2004; 158(11): 1062 - 1069. [Abstract] [Full Text] [PDF]

				E.H.M. van Rijen, E.M.W.J. Utens, J.W. Roos-Hesselink, F.J. Meijboom, R.T. van Domburg, J.R.T.C. Roelandt, A.J.J.C. Bogers, and F.C. Verhulst Medical predictors for psychopathology in adults with operated congenital heart disease Eur. Heart J., September 2, 2004; 25(18): 1605 - 1613. [Abstract] [Full Text] [PDF]

				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]

				A. Guedes, L.-A. Mercier, L. Leduc, L. Berube, F. Marcotte, and A. Dore Impact of pregnancy on the systemic right ventricle after a Mustard operation for transposition of the great arteries J. Am. Coll. Cardiol., July 21, 2004; 44(2): 433 - 437. [Abstract] [Full Text] [PDF]

				J.W Roos-Hesselink, F.J Meijboom, S.E.C Spitaels, R van Domburg, E.H.M van Rijen, E.M.W.J Utens, J McGhie, E Bos, A.J.J.C Bogers, and M.L Simoons Decline in ventricular function and clinical condition after mustard repair for transposition of the great arteries (a prospective study of 22-29 years) Eur. Heart J., July 2, 2004; 25(14): 1264 - 1270. [Abstract] [Full Text] [PDF]

				P. Moons, L. De Bleser, W. Budts, T. Sluysmans, D. De Wolf, M. Massin, M. Gewillig, A. Pasquet, B. Suys, and A. Vliers Health status, functional abilities, and quality of life after the Mustard or Senning operation Ann. Thorac. Surg., April 1, 2004; 77(4): 1359 - 1365. [Abstract] [Full Text] [PDF]

				P Moons, M Gewillig, T Sluysmans, H Verhaaren, P Viart, M Massin, B Suys, W Budts, A Pasquet, D De Wolf, et al. Long term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium Heart, March 1, 2004; 90(3): 307 - 313. [Abstract] [Full Text] [PDF]

				E. L. Culbert, D. A. Ashburn, G. Cullen-Dean, J. A. Joseph, W. G. Williams, E. H. Blackstone, and B. W. McCrindle Quality of Life of Children After Repair of Transposition of the Great Arteries Circulation, August 19, 2003; 108(7): 857 - 862. [Abstract] [Full Text] [PDF]

				W. G. Williams, B. W. McCrindle, D. A. Ashburn, R. A. Jonas, C. Mavroudis, E. H. Blackstone, and the members of the Congenital Heart Surgeon's Soci Outcomes of 829 neonates with complete transposition of the great arteries 12-17 years after repair Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 1 - 10. [Abstract] [Full Text] [PDF]

				E.H.M van Rijen, E.M.W.J Utens, J.W Roos-Hesselink, F.J Meijboom, R.T van Domburg, J.R.T.C Roelandt, A.J.J.C Bogers, and F.C Verhulst Psychosocial functioning of the adult with congenital heart disease: a 20-33 years follow-up Eur. Heart J., April 1, 2003; 24(7): 673 - 683. [Abstract] [Full Text] [PDF]

				P. A. Hutter, D. L. Kreb, S. F. Mantel, J. F. Hitchcock, E. J. Meijboom, and G. B. W. E. Bennink Twenty-five years' experience with the arterial switch operation J. Thorac. Cardiovasc. Surg., October 1, 2002; 124(4): 790 - 797. [Abstract] [Full Text] [PDF]

				H. P. Nieminen, E. V. Jokinen, and H. I. Sairanen Late Results of Pediatric Cardiac Surgery in Finland: A Population-Based Study With 96% Follow-Up Circulation, July 31, 2001; 104(5): 570 - 575. [Abstract] [Full Text] [PDF]

				T Reybrouck, B Eyskens, L Mertens, J Defoor, W Daenen, and M Gewillig Cardiorespiratory exercise function after the arterial switch operation for transposition of the great arteries Eur. Heart J., June 2, 2001; 22(12): 1052 - 1059. [Abstract] [PDF]

				N. J. Wilson, P. M. Clarkson, B. G. Barratt-Boyes, A. L. Calder, R. M. L. Whitlock, R. N. Easthope, and J. M. Neutze Long-term outcome after the mustard repair for simple transposition of the great arteries: 28-year follow-up J. Am. Coll. Cardiol., September 1, 1998; 32(3): 758 - 765. [Abstract] [Full Text] [PDF]

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

				M. Vogel, M. R. Schmidt, S. B. Kristiansen, M. Cheung, P. A. White, K. Sorensen, and A. N. Redington Validation of Myocardial Acceleration During Isovolumic Contraction as a Novel Noninvasive Index of Right Ventricular Contractility: Comparison With Ventricular Pressure-Volume Relations in an Animal Model Circulation, April 9, 2002; 105(14): 1693 - 1699. [Abstract] [Full Text] [PDF]