title: Senning operation for transposition of the great arteries in the first month of life.
abstract: Twelve patients with uncomplicated transposition of the great arteries were operated upon in the first month of life following an initial Rashkind procedure. They were all in a clinically unacceptable condition and were mostly acidotic or bad mixers without acidosis. Two patients died postoperatively from a cerebral haemorrhage not discovered prior to operation. One patient died 5 months postoperatively from bronchiolitis. At postoperative follow-up, all patients were asymptomatic. Cardiac catheterization showed that 1 patient had a significant upper caval vein stenosis, 2 patients had small atrial shunts, and 1 patient had an unimportant pulmonary stenosis. Innocent atrial rhythm disturbances were encountered in 1 case only, whereas 9 patients had normal sinus rhythm at the last examination. The Senning operation remains a good alternative for transposition repair in the neonate.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital, University of Oslo, Norway.
authors.forename: H
authors.initials: H
authors.lastname: Lindberg
authors.forename: P G
authors.initials: PG
authors.lastname: Bjørnstad
authors.forename: A
authors.initials: A
authors.lastname: Foerster
authors.forename: S
authors.initials: S
authors.lastname: Gibbs
authors.forename: S
authors.initials: S
authors.lastname: Tjønneland
mesh_terms: D000138:Acidosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*