Late outcome of Senning and Mustard procedures for correction of transposition of the great arteries

摘要: Objectives: To evaluate late mortality and morbidity after an atrial switch procedure for correction of transposition the great arteries (TGA) to assess predictive factors adverse outcome. Setting: Tertiary referral centre. Design patients: Retrospective follow up study 137 patients surviving hospitalisation TGA (Mustard or Senning) in a single institution divided into two groups (simple complex) depending on presurgical anatomy. Several surgical were evaluated during 16.7 (5.6) years’ up. Results: Late was 5.1% (95% confidence interval 1.37% 8.84%) with sudden death as most common cause. No significant difference found between Mustard Senning procedures complex simple terms mortality. Independent history supraventricular tachyarrhythmias advanced New York Heart Association (NYHA) functional class A very finding development sinus node dysfunction (47.6%), which had no influence There little need reintervention (5.1%) relatively few cases right ventricular systolic (14.6%). During up, (96.2%) NYHA I–II. Conclusions: Overall long term outcomes repair present era are encouraging quality life. Nevertheless, better may be offered through improved diagnostic methods function management tachyarrhythmias.