In the footsteps of senning: lessons learned from atrial repair of transposition of the great arteries.
The Senning operation has evolved from being the initial surgical correction that allowed survival in complete transposition of the great arteries to an integral part of the anatomic repair of congenitally corrected transposition. In patients with complete transposition, the Senning operation has given satisfactory initial and long-term surgical results, but the potential for right ventricular failure and atrial arrhythmias have drastically reduced its indications in the current era. The long-term follow-up and pertinent postoperative issues of the Senning operation will be reviewed, along with its newfound role in the anatomic repair of congenitally corrected transposition.
Dodge-Khatami
Ali
A
Division of Cardiovascular Surgery, Center For Congenital Heart Diseases, Children's Hospital, University of Zürich, Zürich, Switzerland. ali.dodge-khatami@kispi.unizh.ch
Kadner
Alexander
A
Berger Md
Felix
F
Dave
Hitendu
H
Turina
Marko I
MI
Prêtre
René
R
D001145:Arrhythmias, Cardiac / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D015444:Exercise; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D014188:Transposition of Great Vessels / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology; D014683:Vena Cava, Superior; D018497:Ventricular Dysfunction, Right / Q000209:etiology; D016277:Ventricular Function, Left