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Ann Thorac Surg 1995;60:510
© 1995 The Society of Thoracic Surgeons

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Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 505.

DR BRUNO MESSMER (Aachen, Germany): I am somewhat amazed that you did not find any rhythm disturbances in your cohort of arterial switch patients. We have studied the late postoperative rhythm behavior in 33 of 78 patients who had neonatal switch repair. Supraventricular and sporadic ventricular extrasystoles were quite common on Holter electrocardiograms. More dangerous rhythm disturbances such as persistent junctional rhythm or supraventricular tachycardia, however, were present in only 3 patients, which is roughly 10%. Rhythm problems are certainly less after an arterial switch than after the Senning or Mustard procedure, but they are not absent as one would assume after your presentation. Therefore I would like to ask you whether you checked your patients with long-term electrocardiograms or only by looking at casually recorded electrocardiograms.

DR TURLEY: This material was from the Congenital Heart Surgeons Society database. It did not include Holter data unless the individual cardiologists had chosen to . . . [Full Text of this Article]