Mustard & Senning Operations for TGA

In patients with Transposition of the Great Arteries repaired with the Mustard or Senning operation, the right ventricle and tricuspid valve continue to supply the aorta and the systemic circulation. These patients are at risk of complications including:

progressive right ventricular dysfunction

progressive tricuspid regurgitation

atrial and ventricular arrhythmias and sudden death

sinus node dysfunction

atrial baffle complications

Many of these patients will over time develop major RV impairment and some will eventually require consideration for transplant listing. They require regular monitoring of RV size and function as well as functional capacity and sinus node function.

Click below for the New Zealand protocol for monitoring of patients who have undergone the Mustard or Senning operations for transposition of the great arteries.

NZ Protocol for monitoring of patients after the Mustard & Senning operations

The following link takes you to recommendations for assessment for ICD implantation in patients after the Mustard and Senning operations. These are based on the 2018 European Heart Rhythm Association (EHRA) position paper.

Recommendations for ICD implantation in Mustard & Senning patients