Late results of senning operation

Abstract

Long-term follow-up after the Senning operation shows increasing incidence of sinus node dysfunction and right ventricular dysfunction over time. Deteriorating right ventricular function is a major concern. Its early recognition and initiation of appropriate management to preserve cardiac function is an important follow-up goal.

Senning operation for correction of the transposition of the great arteries, results, long-term outcome and quality of life

“…Kirjavainen et al [3] show: 90% of the patients with simple TGA but only 78% of the patients with complex TGA, were alive 15 years after the Senning procedure. These data confirm the finding that the presence of a VSD is a significant risk factor for late death because VSD closure emerged as an independent risk factor for late death in multivariate analysis.…”

“…Survival functional status and quality of life of patients with transposition of the great arteries (TGA), after an atrial switch operation (Senning or Mustard procedure) are reported to be reasonably good after 2 decades of life [1][2][3][4][5][6][7][8]. However, in many cases, It's possible to detect the function of the systemic right ventricle deteriorates, severe tricuspid regurgitation develops or the patients suffer from arrhythmias.…”

Long‐term outcome after senning operation for transposition of the great arteries

“…18 In our series the incidence of late sudden death was 2.9%, which is in agreement with the range of 2-8% reported in the literature. 5,6,[10][11][12][13][14][15][16] …”

Transposition of the great arteries. Evaluation of the results and current management

“…Long-term follow-up after the Senning technique (table II) has shown a better survival when compared with the Mustard technique, ranging from 78 to 90% 10,11,15,16 . It is interesting to note that, in the largest international experience with the Seening technique, Genoni et al 15 report similar mortality rates among patients with associated ventricular and atrial septal defects in Zurich, Switzerland.…”

“…Complications of the surgery that can be associated with the anatomo-functional conditions of the disease are supraventricular arrhythmias, right ventricular failure, tricuspid regurgitation, and stenosis of either the pulmonary or the systemic venous systems or both of these [8][9][10][11][12][13][14][15][16] .…”