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[Long-term results of 156 Mustard operations for simple transposition of the great vessels]
Insights
Mustard
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Congenital Heart Disease
Context:
- Mustard's technique for simple transposition of the great vessels.
- Surgical outcomes in pediatric patients.
- Evaluation of long-term complications and prognosis.
Purpose:
- To assess the efficacy and long-term outcomes of Mustard's technique.
- To identify major complications associated with the procedure.
- To evaluate the long-term prognosis for patients undergoing this surgery.
Summary:
- Mustard's technique for simple transposition of the great vessels in 156 children showed an 8% immediate mortality rate.
- Long-term follow-up revealed 9% late deaths and significant complications, including severe arrhythmia (30%) and venous obstruction (25%).
- Despite surgical improvements, long-term prognosis remains uncertain due to the fate of the intra-atrial partition and passive rhythms.
Impact:
- Highlights the need for ongoing monitoring and management of late complications.
- Informs surgical decision-making and the development of improved techniques.
- Underscores the importance of understanding the long-term implications of intra-atrial repair in congenital heart surgery.
Abstract:
156 children with simple transposition of the great vessels have been operated on by Mustard's technique between 1-6-1967 and 31-12-1976, with an immediate overall mortality rate of 8%. In the longterm, the 9% of late deaths and more especially the complications are regrettable; complications were either of severe arrhythmia (almost 30%) leading to 2 late deaths and 7 pacemaker implantations, or venous obstruction relating to problems with the patch (25%). Despite the improved techniques and consequent reduction in surgical mortality and late complications, longterm prognosis is still unsure because of the unknown fate of the intra-atrial partition, and that of the "passive" rhythms which are so commonly found after this type of surgery.