Surgical treatment of patients with transposition of the great arteries.
The prognosis of infants born with transposition of the great arteries has greatly improved in the last ten years. Some principles of diagnosis and treatment are generally accepted. However, considerable uncertainty still exists about the optimal age for elective Mustard operation, and about the details of surgical technique that would minimize the incidence of obstructive complications and post-operative dysrhythmias. These problems are discussed in the light of the surgical technique used in our unit since 1973 (143 Mustard operations) and our recent electrophysiological studies performed during the various phases of the Mustard operation.
D000367:Age Factors; D001145:Arrhythmias, Cardiac / Q000517:prevention & control; D006801:Humans; D007223:Infant; D008722:Methods; D011183:Postoperative Complications / Q000517:prevention & control; D014188:Transposition of Great Vessels / Q000601:surgery*