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

Maluf, Miguel Angel

doi:10.4236/wjcd.2012.23036

Cited by 3 publications

(8 citation statements)

References 12 publications

(36 reference statements)

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“…Likewise, Talwar et al [ 7 ] reported nil early or late mortality in patients with TGA, and no one required re-operations during the follow-up period. On the other hand, Maluf [ 9 ] recorded single death (2.5%) in his long-term follow-up. Dos et al [ 5 ] registered a 5.1% of late mortality rate after SO, with 42.8% of sudden death much similar to the other studies [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The deterioration of systemic RV activity following a Senning's operation is a primary issue [ 9 ]. LT survival is primarily found by the performance of the tricuspid valve and RV against the systemic afterload and blood pressure.…”

Section: Discussionmentioning

confidence: 99%

“…At the three-year follow-up point, case 1 had moderate tricuspid regurgitation, and case 2 had mild tricuspid valve regurgitation. Maluf [ 9 ], Szymański et al. [ 17 ], and Kammeraad et al [ 18 ] found marked tricuspid regurgitation in their studies with 22.8%, 33.3%, and 20%, respectively, following Senning's operation.…”

Section: Discussionmentioning

confidence: 99%

“…Reoperations following the Senning procedure are frequently caused by baffle-related complications (BRCs) [ 9 ]. Hörer et al [ 19 ] documented similar complications in 5.4% of their patients following 18.2 years of surgery following venous baffle leaks or stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…The left ventricle (LV) of d-TGA patients becomes ineligible for ASO, even though the patient lives beyond five years, limiting the options for surgery to ASO with mechanical LV assist and ASO with LV retraining [ 7 ]. Though there is a good functional outcome and enhanced quality of life (QOL) for TGA patients treated with SO during childhood and adulthood [ 9 ], sudden death due to the risks of using the RV as the systemic ventricle does exist, along with RV dilatation, RV dysfunction, arrhythmias, sinus node dysfunction (SND), baffle leaks (BFLs), and pulmonary pathway and/or systemic pathway obstruction [ 10 ]. This article assesses the midterm outlook following the MSO in children with d-TGA.…”

Section: Introductionmentioning

confidence: 99%

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Mid-Term Outlook Following Modified Senning's Operation for the Correction of Transposition of the Great Arteries: A Case Series and Review of Literature

Bhende¹,

Sharma²,

Subramaniam³

et al. 2023

Cureus

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At the time of writing, two patients who underwent modified Senning’s operation (MSO) for the treatment of transposition of great arteries (TGAs) were followed up. At the time of surgery, the patients were three months and 15 years old, respectively. The duration of the follow-up was three years, during which there was a good prognosis, and hence no further invasive treatments were required. There was normal functioning of the right ventricle (RV) in both patients, with the exception of a minor baffle leak in the three-month-old patient. At the annual three-year follow-up, the tricuspid regurgitation (systemic atrioventricular valve) status was moderate in the three-year-old child and mild in the 18-year-old girl. Both patients maintained sinus rhythm and are assigned classification as New York Heart Association (NYHA) Classes I and II. This study aims to assess the midterm outlook after MSO in order to identify and manage future long-term complications. Our report shows a positive outcome in terms of survival and functional activities among children with d-TGA; however, there is a strong need for future research to evaluate the prognosis in the long term (LT) and to assess the functioning of RV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Mid-Term Outlook Following Modified Senning's Operation for the Correction of Transposition of the Great Arteries: A Case Series and Review of Literature

Bhende¹,

Sharma²,

Subramaniam³

et al. 2023

Cureus

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Modified Senning procedure for the correction of the transposition of the great arteries: Mid-term results

Moustafa

Khalil

Saied

et al. 2017

Journal of the Egyptian Society of Cardio-Thoracic Surgery

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Timely Detection of Subclinical Heart Failure Among Children with D-Transposition of Great Arteries after Senning Operation: A Single Center Experience

AbdelMassih,

Mostafa,

Ismail

et al. 2024

Pediatric Sciences Journal

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Background: Atrial switch operation, was introduced by Ake Senning in 1958 for patients with D-transposition of great arteries (D-TGA). The major disadvantage of the atrial switch procedure is right ventricle (RV) failure in up to 7% to 10% of patients per 10 years. Aims of the work:To detect subclinical RV failure in children with D-TGA after atrial switch repair using conventional and nonconventional echocardiography. Subjects and Methods: We studied 25 children with D-TGA who underwent atrial switch operation following in the Postoperative Cardiology Clinic at Cairo University Specialized Pediatric Hospital. They did not have symptoms of heart failure. They underwent conventional echocardiography, tissue Doppler and speckle tracking imaging including RV global longitudinal strain (RV GLS) to detect subclinical heart failure according to New York Heart Association (NYHA) classification. The results were compared to a matched control group. Results: Mean age ± standard deviation of the studied group was 6.8 ± 4.3 years while mean age at time of operation ranged 14.2 ± 12.7 months (p=0.001). Mean RV global longitudinal strain (GLS) of cases (-14.5± 1.5%) was significantly impaired compared to RV GLS of controls (-20.2 ± 1.4%) (p <0.001). Tricuspid annular plane systolic excursion (TAPSE) of cases (12.7 ± 3.1 mm) was lower than TAPSE of controls (15.5 ± 2.3 mm) (p= 0.001). While RV myocardial performance index (MPI) of cases (0.47 ± 0.10) was higher than RV MPI of controls (0.34 ± 0.03) (p <0.001). There was a negative correlation between age at the time of surgery and RV GLS (r = -0.435) (p = 0.030). Non-conventional echocardiographic parameters RV MPI and RV GLS detected subclinical heart failure among all studied cases post-atrial switch. Conclusions: Non-conventional echocardiographic parameters RV MPI and RV GLS had higher sensitivity for detection of RV dysfunction and timely diagnosis of subclinical heart failure in patients of D-TGA after Senning atrial switch operation that was not detected by conventional echocardiography. Level of Evidence of Study: IV (1).

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

Cited by 3 publications

References 12 publications

Mid-Term Outlook Following Modified Senning's Operation for the Correction of Transposition of the Great Arteries: A Case Series and Review of Literature

Mid-Term Outlook Following Modified Senning's Operation for the Correction of Transposition of the Great Arteries: A Case Series and Review of Literature

Modified Senning procedure for the correction of the transposition of the great arteries: Mid-term results

Timely Detection of Subclinical Heart Failure Among Children with D-Transposition of Great Arteries after Senning Operation: A Single Center Experience

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