Padró J M, Montiel J, Ruyra X, Subirana M, Arís A, Caralps J M
Unidad de Cirugía Cardíaca, Hospital de la Santa Creu i Sant Pau, Barcelona.
Rev Esp Cardiol. 1993 Aug;46(8):512-5.
A 31-year-old male patient, underwent Mustard operation in childhood for complete transposition of the great arteries. He required a sequential (DDD-mode) pacemaker due to a complete symptomatic auriculoventricular block, 25 years after the operation. Wires were inserted through the left cephalic vein and placed in the systemic atrium and ventricle, achieving correct sensing and stimulating thresholds. Atrial rhythm disturbances, specially sinus node dysfunction, are frequent after Mustard's operation and increase through the years following the surgical procedure. Atrioventricular conduction disturbances are rare. Treatment by endocavitary pacemaker implies a correct knowledge of the special anatomy in this congenital disease and its surgical correction.
一名31岁男性患者，童年时因完全性大动脉转位接受了Mustard手术。术后25年，由于出现完全性有症状房室传导阻滞，他需要植入顺序式（DDD模式）起搏器。电极导线经左头静脉插入，置于体心房和心室内，获得了正确的感知和刺激阈值。Mustard手术后，心房节律紊乱，尤其是窦房结功能障碍很常见，并且在手术后数年中会增加。房室传导障碍很少见。通过心腔内起搏器进行治疗需要正确了解这种先天性疾病及其手术矫正后的特殊解剖结构。
