RT Journal Article
SR Electronic
T1 Right ventricular function 10 years after the Mustard operation for transposition of the great arteries: analysis of size, shape, and wall motion.
JF British Heart Journal
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 455
OP 461
DO 10.1136/hrt.62.6.455
VO 62
IS 6
A1 A N Redington
A1 M L Rigby
A1 P Oldershaw
A1 D G Gibson
A1 E A Shinebourne
YR 1989
UL http://heart.bmj.com/content/62/6/455.abstract
AB Biplane right ventriculograms were obtained in 18 symptom free patients 109 (26) months (mean (SD)) after Mustard repair of transposition of the great arteries. Ventricular size, shape, and wall motion were measured from the digitised angiograms and compared with previously published data on left ventricular function after anatomical correction of transposition of the great arteries, with right ventricular function in controls, and with patients before repair of tetralogy of Fallot. Global indices of ventricular function were depressed after Mustard repair and wall motion abnormalities were common. The presence of wall motion abnormalities in this group was associated with a reduction in ejection fraction and ventricular filling rates. In four of five patients in whom an appropriate preoperative angiogram was available a similar pattern of wall motion was seen before the Mustard operation, suggesting that preoperative events may be important in determining eventual outcome.