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Ann Thorac Surg 2005;79:1433-1444
© 2005 The Society of Thoracic Surgeons

Review

In the Footsteps of Senning: Lessons Learned From Atrial Repair of Transposition of the Great Arteries

Ali Dodge-Khatami, MD, PhDa,*, Alexander Kadner, MDa, Felix Berger, MDb, Hitendu Dave, MDa, Marko I. Turina, MDa, René Prêtre, MDa

a Division of Cardiovascular Surgery, Center For Congenital Heart Diseases, Children's Hospital, University of Zürich, Zürich, Switzerland
b Division of Cardiology, Center for Congenital Heart Diseases, Children's Hospital, University of Zürich, Zürich, Switzerland

* Address reprint requests to Dr Dodge-Khatami, Division of Cardiovascular Surgery, Children's Hospital, University of Zürich, Steinwiesstrasse 75, CH-8032 Zürich, Switzerland
ali.dodge-khatami{at}kispi.unizh.ch

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.

Abbreviations: ASO = arterial switch operation • CCTGA = congenitally corrected transposition of the great arteries • CHSS = Congenital Heart Surgeons Society • ECMO = extracorporeal membrane oxygenation • LV = left ventricle or left ventricular • LVOTO = left ventricular outflow obstruction • MRI = magnetic resonance imagery • NR = not reported • NYHA = New York Heart Association • PA = pulmonary artery • PHN = pulmonary hypertension • RV = right ventricle or right ventricular • SVC = superior vena cava • TGA = transposition of the great arteries • TI = tricuspid insufficiency • VSD = ventricular septal defect • y = years






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