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The Annals of Thoracic Surgery, Vol 43, 678-680, Copyright © 1987 by The Society of Thoracic Surgeons
EL Bove
The outlook for children with transposition of the great arteries (TGA)
improved dramatically with the advent of the atrial repair. This procedure,
first successfully performed by Ake Senning, followed years of unsuccessful
attempts at correction by a number of surgeons using a variety of
techniques. Senning's procedure expanded on the concept experimentally
proposed by Albert of redirecting venous return at the atrial level to
achieve physiological correction. The Senning procedure was largely
abandoned when Mustard's technique was introduced in 1964, but has enjoyed
a resurgence as a number of its potential advantages became more fully
appreciated. Today, patients with TGA are increasingly undergoing repair by
the arterial switch technique. Not all patients, however, are suitable
candidates for this approach, and its success will be measured against the
ingenious procedure described by Senning more than a quarter of a century
ago.
ARTICLES
Senning's procedure for transposition of the great arteries
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I. E. Konstantinov, V. V. Alexi-Meskishvili, W. G. Williams, R. M. Freedom, and R. Van Praagh Atrial switch operation: past, present, and future Ann. Thorac. Surg., June 1, 2004; 77(6): 2250 - 2258. [Abstract] [Full Text] [PDF] |
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