Anatomic correction of transposition of the great arteries (original) (raw)

Objective—To examine long termmorbid-ity and mortality following atrial inflow corrective procedures for transposition of the great arteries (TGA) and to investigate factors that influence morbidity and mortality. Design—Retrospective cohort study from a single centre. Setting—Cardiology and cardiothoracic surgical unit in a large tertiary referral centre. Patients—All 130 patients who had TGA diagnosed between August 1972 and May 1988 and were considered suitable for atrial inflow correction; 109 of these underwent surgery (operative cohort: 84 Mustard operations and 25 Senning op-erations); 95 survived to hospital dis-charge (hospital surviving cohort). Main outcome measures—Death and car-diac events. Results—There were relatively good long term results from atrial inflow correction for TGAwith 5, 10, and 15 year survivals of 77.3%, 75.9%, and 71.3%. However, there was an appreciable incidence of late cardiac death and events, with 5, 10, and 15 year cardiac event-free survivals o...