T. Gilljam et al., STATUS OF SURVIVORS AFTER ATRIAL REDIRECTION FOR TRANSPOSITION OF THEGREAT-ARTERIES - A COMPLETE LONG-TERM FOLLOW-UP, Acta paediatrica, 85(7), 1996, pp. 832-837
All 32 survivors with transposition of the great arteries, born in 196
4-83 and operated on at our institution using atrial redirection, were
evaluated by cardiac catheterization, echocardiography and Holter mon
itoring, There were 17 Mustard patients, age 17.1 years (+/-3.5, 12.0-
22.0) and 15 Senning patients, age 9.4 years (+/-1.6, 7.2-12.1). All b
ut one had simple transposition. Six had caval obstruction, one had pu
lmonary venous obstruction, three had large atrial shunts, four had co
nsiderable pulmonary hypertension, seven had mild ventricular outflow
tract obstruction, four had significant tricuspid regurgitation, II ha
d systemic ventricle dysfunction (one severe), 14 had sinus node dysfu
nction (three symptomatic) and two had atrioventricular block (one wit
h pacemaker). Eight Mustard patients (47%) and one Senning patient (7%
) had symptomatic cardiac sequelae, and only one patient (Senning) was
free from sequelae, illustrating that these patient groups will need
continuing medical attention.