Between April of 1975 and January of 1994, 28 patients underwent correction of simple transposition of the great arteries by a modification of the Mustard operation, designed to avoid dysrhythmias and to minimize systemic and pulmonary venous obstruction. Age ranged from 21 days to 7 years (mean age 18 months). The majority (22 patients) were in the first year of life. Early mortality occurred in 6 patients. Four of the early deaths were in children younger than 4 months. Among the 22 survivors no serious dysrhythmias or right ventricular dysfunction were detected. Three patients presented superior vena cava (2) and pulmonary (1) venous obstruction, and were easily managed at reoperation. Current results with the modified Mustard operation are good and this procedure is still an alternative in children with simple transposition who are not candidates for anatomical repair
Transposition of the great arteries; Mustard operation