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European Journal of Cardio-Thoracic Surgery, Vol 3, 16-19, Copyright © 1989 by European Association for Cardio-thoracic Surgery

ARTICLES

Senning operation for transposition of the great arteries in the first month of life

H Lindberg, PG Bjornstad, A Foerster, S Gibbs and S Tjonneland
Department of Cardiovascular Surgery, National Hospital, University of Oslo, Norway.

Twelve patients with uncomplicated transposition of the great arteries were operated upon in the first month of life following an initial Rashkind procedure. They were all in a clinically unacceptable condition and were mostly acidotic or bad mixers without acidosis. Two patients died postoperatively from a cerebral haemorrhage not discovered prior to operation. One patient died 5 months postoperatively from bronchiolitis. At postoperative follow-up, all patients were asymptomatic. Cardiac catheterization showed that 1 patient had a significant upper caval vein stenosis, 2 patients had small atrial shunts, and 1 patient had an unimportant pulmonary stenosis. Innocent atrial rhythm disturbances were encountered in 1 case only, whereas 9 patients had normal sinus rhythm at the last examination. The Senning operation remains a good alternative for transposition repair in the neonate.




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Copyright © 1989 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.