Abstract
Disturbances of rhythm and conduction in patients undergoing surgery for transposition of the great arteries have been widely reported. Some of these patients require implantation of a permanent pacemaker, especially those in whom symptomatic sick sinus syndrome is diagnosed. We present the case of a 29-year-old male corrected with a Mustard procedure, who received a pacemaker for progressive atrioventricular conduction disturbances and sinus node dysfunction, and we review the possible complications associated with transvenous pacemaker implantation in these patients. (Neth Heart J 2007;15:387-389.)
Similar content being viewed by others
References
Senning A. Surgical correction of transposition of the great vessels. Surgery 1959;45:966-80.
Mustard WT. Successful two-stage correction of transposition of the great vessels. Surgery 1964;55:469-72.
Moons P, Gewillig M, Sluysmans T, et al. Long term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium. Heart 2004;90:307-13.
Puley G, Siu S, Connelly M, et al. Arrhythmia and survival in patients >18 years of age after the mustard procedure for complete transposition of the great arteries. Am J Cardiol 1999;83:1080-4.
Janousek J, Paul T, Luhmer I, Wilken M, Hruda J, Kallfelz HC. Atrial baffle procedures for complete transposition of the great arteries: natural course of sinus node dysfunction and risk factors for dysrhythmias and sudden death. Z Kardiol 1994;83:933-8.
Hayes CJ, Gersony WM. Arrhythmias after the Mustard operation for transposition of the great arteries: a long-term study. J Am Coll Cardiol 1986;7:133-7.
Meijboom F, Szatmari A, Deckers JW, et al. Long-term followup (10 to 17 years) after Mustard repair for transposition of the great arteries. J Thorac Cardiovasc Surg 1996;111:1158-68.
Oginosawa Y, Abe H, Nakashima Y. The incidence and risk factors for venous obstruction after implantation of transvenous pacing leads. Pacing Clin Electrophysiol 2002;25:1605-11.
Chintala K, Forbes TJ, Karpawich PP. Effectiveness of transvenous pacemaker leads placed through intravascular stents in patients with congenital heart disease. Am J Cardiol 2005;95:424-7.
Spittell PC, Hayes DL. Venous complications after insertion of a transvenous pacemaker. Mayo Clin Proc 1992;67:258-65.
Figa FH, McCrindle BW, Bigras JL, Hamilton RM, Gow RM. Risk factors for venous obstruction in children with transvenous pacing leads. Pacing Clin Electrophysiol 1997;20:1902-9.
Kantoch MJ, McKay R, Tyrrell MJ. Left ventricular transvenous electrode dislodgement after Mustard repair for transposition of the great arteries. Pacing Clin Electrophysiol 1993;16):1887-91.
Berul CI, Cecchin F. Indications and techniques of pediatric cardiac pacing. Expert Rev Cardiovasc Ther 2003;1:165-76.
Walker F, Siu SC, Woods S, Cameron DA, Webb GD, Harris L. Long-term outcomes of cardiac pacing in adults with congenital heart disease. J Am Coll Cardiol 2004;43:1894-901.
Khairy P, Landzberg MJ, Gatzoulis MA, et al. Transvenous pacing leads and systemic thromboemboli in patients with intracardiac shunts: a multicenter study. Circulation 2006;113:2391-7.
Author information
Authors and Affiliations
Corresponding author
Additional information
Department of Cardiology, VU Medical Centre, Amsterdam, the Netherlands
Department of Cardiology, Academic Medical Centre, Amsterdam, the Netherlands
T.C. Konings Department of Cardiology, VU Medical Centre, PO Box 7057, 1081 HV, Amsterdam, the Netherlands
Rights and permissions
About this article
Cite this article
Konings, T.C., Dekker, L.R.C., Groenink, M. et al. Transvenous pacing after the Mustard procedure: considering the complications. NHJL 15, 387–389 (2007). https://doi.org/10.1007/BF03086020
Issue Date:
DOI: https://doi.org/10.1007/BF03086020