Abstract
To compare the results of the Mustard (M) and Senning (S) operations, we reviewed 125 consecutive patients (pts) that had repair of d-transposition of the great arteries with intact septum. From 12/72 to 2/78 69 pts had M repair; age at operation (op) was 3 days (d) to 12 years (y), median 11 months (m), and median wt 7.3 kg. Mean follow up was 41 m and 57 (82%) had postoperative (postop) catheterization (cath). From 3/78 to 10/80 56 had S repair, age 7 d to 3 y, median 6 m, and wt 6.9 kg. Mean follow up was 10 m and 29 (52%) had postop oath. Within 30 d of op 8 (12%) of M pts died and 6 (9%) died later. Three (5%) S pts died early, 1 (2%) died late. Systemic venous obstruction (SVOB) occurred in 36 (52%) of M pts, reoperation (reop) required in 12. SVOB occurred in 4 (7%) S pts, three required reop. Pulmonary venous obstruction (PVOB) developed in 3 (4%) M pts, all required reop. Six (11%) of S pts had PVOB, 5 had reop. In late follow up of 59 M pts,29 had sinus rhythn(SR),15 junctional rhythm (JR), 10 sick sinus syndrome (SSS), 3 ectopic atrial rhythm (EAR) and 2 atrial flutter. In 51 S pts, 43 had SR, 6 JR, 1 EAR,1 SSS.
When compared to the Mustard operation, the Senning has a higher incidence of PVOB. However, the lower incidence of mortality, SVOB, and arrhythmias, favors continued use of the Senning repair at our institution.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Marx, G., Hougen, T., Norwood, W. et al. 165 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH INTACT SEPTUM: RESULTS OF MUSTARD AND SENNING OPERATION. Pediatr Res 15 (Suppl 4), 467 (1981). https://doi.org/10.1203/00006450-198104001-00174
Issue Date:
DOI: https://doi.org/10.1203/00006450-198104001-00174