Abstract
The Senning procedure is an operative technique for atrial inversion in congenital heart anomalies. We sought to evaluate our contemporary outcomes employing this technique. A retrospective analysis of all patients who underwent the Senning procedure at our institution was performed. Hospital records were reviewed, and follow-up data were obtained to evaluate outcomes. Overall, a total of 19 patients underwent a Senning procedure between August 2005 and July 2014. Median age at repair was 594 days (range: 5 days to 15 years). Of those, 7 patients underwent a combined Senning-Rastelli operation and 10 patients underwent a double switch operation (arterial switch or atrial switch). Primary diagnosis was congenitally corrected transposition of the great arteries (cc-TGA) in 17 patients. Associated lesions included ventricular septal defect (n = 10), pulmonary stenosis or atresia (n = 7), and Ebstein's anomaly of the tricuspid valve (n = 4). There was an operative death (5%). In all, 2 patients required superior vena cava baffle revision in the operating room. No new pulmonary venous or systemic venous baffle obstruction was observed during follow-up. A total of 5 (26%) patients developed heart block requiring pacemaker implantation. Actuarial survival was 81% at 5 years with a median follow-up of 38 months. The 2 patients in the cc-TGA group were subsequently transplanted. Surviving patients (n = 15) are all well at the last clinical follow-up, most with normal biventricular function. In conclusion, the Senning procedure offers excellent outcomes with regard to systemic and pulmonary venous baffle patency. Results in patients with cc-TGA, however, are affected by significant early mortality after Senning-Rastelli and incidence of left ventricular dysfunction after double switch; which should be considered during patient selection and surgical planning. Abstract Mini: We evaluated outcomes after Senning procedure in a contemporary series. A total of 19 patients underwent the procedure between August 2005 and July 2014. There was 1 (5%) operative death. Outcomes with regard to venous baffles patency were excellent. Results after double switch and Senning-Rastelli procedures, however, were affected by significant mortality and morbidity.
| Original language | English (US) |
|---|---|
| Journal | Seminars in Thoracic and Cardiovascular Surgery |
| DOIs | |
| State | Accepted/In press - 2016 |
Fingerprint
Keywords
- Arterial switch
- Atrial switch
- Corrected Transposition
- Double switch
- Rastelli operation
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
- Pulmonary and Respiratory Medicine
Cite this
Single-Center Experience With the Senning Procedure in the Current Era. / Ferro, Giuseppe; Murthy, Raghav; Sebastian, Vinod A.; Guleserian, Kristine J.; Forbess, Joseph M.
In: Seminars in Thoracic and Cardiovascular Surgery, 2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Single-Center Experience With the Senning Procedure in the Current Era
AU - Ferro, Giuseppe
AU - Murthy, Raghav
AU - Sebastian, Vinod A.
AU - Guleserian, Kristine J.
AU - Forbess, Joseph M.
PY - 2016
Y1 - 2016
N2 - The Senning procedure is an operative technique for atrial inversion in congenital heart anomalies. We sought to evaluate our contemporary outcomes employing this technique. A retrospective analysis of all patients who underwent the Senning procedure at our institution was performed. Hospital records were reviewed, and follow-up data were obtained to evaluate outcomes. Overall, a total of 19 patients underwent a Senning procedure between August 2005 and July 2014. Median age at repair was 594 days (range: 5 days to 15 years). Of those, 7 patients underwent a combined Senning-Rastelli operation and 10 patients underwent a double switch operation (arterial switch or atrial switch). Primary diagnosis was congenitally corrected transposition of the great arteries (cc-TGA) in 17 patients. Associated lesions included ventricular septal defect (n = 10), pulmonary stenosis or atresia (n = 7), and Ebstein's anomaly of the tricuspid valve (n = 4). There was an operative death (5%). In all, 2 patients required superior vena cava baffle revision in the operating room. No new pulmonary venous or systemic venous baffle obstruction was observed during follow-up. A total of 5 (26%) patients developed heart block requiring pacemaker implantation. Actuarial survival was 81% at 5 years with a median follow-up of 38 months. The 2 patients in the cc-TGA group were subsequently transplanted. Surviving patients (n = 15) are all well at the last clinical follow-up, most with normal biventricular function. In conclusion, the Senning procedure offers excellent outcomes with regard to systemic and pulmonary venous baffle patency. Results in patients with cc-TGA, however, are affected by significant early mortality after Senning-Rastelli and incidence of left ventricular dysfunction after double switch; which should be considered during patient selection and surgical planning. Abstract Mini: We evaluated outcomes after Senning procedure in a contemporary series. A total of 19 patients underwent the procedure between August 2005 and July 2014. There was 1 (5%) operative death. Outcomes with regard to venous baffles patency were excellent. Results after double switch and Senning-Rastelli procedures, however, were affected by significant mortality and morbidity.
AB - The Senning procedure is an operative technique for atrial inversion in congenital heart anomalies. We sought to evaluate our contemporary outcomes employing this technique. A retrospective analysis of all patients who underwent the Senning procedure at our institution was performed. Hospital records were reviewed, and follow-up data were obtained to evaluate outcomes. Overall, a total of 19 patients underwent a Senning procedure between August 2005 and July 2014. Median age at repair was 594 days (range: 5 days to 15 years). Of those, 7 patients underwent a combined Senning-Rastelli operation and 10 patients underwent a double switch operation (arterial switch or atrial switch). Primary diagnosis was congenitally corrected transposition of the great arteries (cc-TGA) in 17 patients. Associated lesions included ventricular septal defect (n = 10), pulmonary stenosis or atresia (n = 7), and Ebstein's anomaly of the tricuspid valve (n = 4). There was an operative death (5%). In all, 2 patients required superior vena cava baffle revision in the operating room. No new pulmonary venous or systemic venous baffle obstruction was observed during follow-up. A total of 5 (26%) patients developed heart block requiring pacemaker implantation. Actuarial survival was 81% at 5 years with a median follow-up of 38 months. The 2 patients in the cc-TGA group were subsequently transplanted. Surviving patients (n = 15) are all well at the last clinical follow-up, most with normal biventricular function. In conclusion, the Senning procedure offers excellent outcomes with regard to systemic and pulmonary venous baffle patency. Results in patients with cc-TGA, however, are affected by significant early mortality after Senning-Rastelli and incidence of left ventricular dysfunction after double switch; which should be considered during patient selection and surgical planning. Abstract Mini: We evaluated outcomes after Senning procedure in a contemporary series. A total of 19 patients underwent the procedure between August 2005 and July 2014. There was 1 (5%) operative death. Outcomes with regard to venous baffles patency were excellent. Results after double switch and Senning-Rastelli procedures, however, were affected by significant mortality and morbidity.
KW - Arterial switch
KW - Atrial switch
KW - Corrected Transposition
KW - Double switch
KW - Rastelli operation
UR - http://www.scopus.com/inward/record.url?scp=84959449352&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959449352&partnerID=8YFLogxK
U2 - 10.1053/j.semtcvs.2015.12.013
DO - 10.1053/j.semtcvs.2015.12.013
M3 - Article
C2 - 28043470
AN - SCOPUS:84959449352
JO - Seminars in Thoracic and Cardiovascular Surgery
JF - Seminars in Thoracic and Cardiovascular Surgery
SN - 1043-0679
ER -