Reintroduction of the Senning operation for transposition of the great arteries.
At the Royal Children's Hospital, Melbourne, since November, 1978, the Senning operation has become the operation of first choice, in place of the Mustard procedure, for transposition of the great arteries. In total of 22 patients, there have been three hospital deaths, two of which were attributable to severe pulmonary vascular disease. There have been no deaths. Because the Senning procedure is based on the use of living tissue, it may provide better long-term results, by permitting growth and thus avoiding late systemic or pulmonary venous obstruction, than the Mustard procedure which employs extensive use of prosthetic material or graft.
D002675:Child, Preschool; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D011660:Pulmonary Heart Disease / Q000209:etiology / Q000517:prevention & control; D014188:Transposition of Great Vessels / Q000150:complications / Q000601:surgery*