| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1999;117:488-495
© 1999 Mosby, Inc.
SURGERY FOR CONGENITAL HEART DISEASE |
From Helsinki University Central Hospital, Hospital for Children and Adolescents, Helsinki, Finland.
Received for publication March 19, 1998. Revisions requested June 1, 1998. Revisions received Sept 8, 1998. Accepted for publication Sept 10, 1998. Address for reprints: Mikko Kirjavainen, MD, Helsinki University Central Hospital, Hospital for Children and Adolescents, PL 281, Helsinki 00029 HYKS, Finland.
Objectives: Few data exist for long-term results after the Senning operation for transposition of the great arteries. Sinus node dysfunction and systemic ventricular dysfunction have been the main problems. We evaluated risk factors for late death and the incidence of late death, sinus node dysfunction, and right ventricular dysfunction in 100 patients.
Methods: The study was a retrospective analysis with a mean follow-up time of 12.8 ± 3.1 years. No patients were lost to follow-up. Patients were divided in 2 groups according to ventricular septal defect (73 simple, 27 complex). The electrocardiogram, ambulatory electrocardiogram, echocardiogram, and chest radiograph were reviewed for each patient.
Results: The overall mortality rate was 10%. The actuarial survival was 90% (simple) and 78% (complex); the probability of staying in sinus rhythm was 34% and 7%, and the probability of normal right ventricular function was 52% and 39%, respectively, 15 years after operation. The incidence of sinus node dysfunction increased gradually over time, although the incidence of right ventricular dysfunction increased rapidly after 10 years of follow-up. Late deaths, arrhythmias, and right ventricular dysfunction were significantly more frequent in the complex group. Right ventricular dysfunction and active arrhythmias were risk factors for late death.
Conclusion: Long-term follow-up after the Senning operation shows increasing incidence of sinus node dysfunction and right ventricular dysfunction over time. Deteriorating right ventricular function is a major concern. Its early recognition and initiation of appropriate management to preserve cardiac function is an important follow-up goal.
This article has been cited by other articles:
|
|
 |
|
  P. Khairy, L. Harris, M. J. Landzberg, S. M. Fernandes, A. Barlow, L.-A. Mercier, S. Viswanathan, P. Chetaille, E. Gordon, A. Dore, et al. Sudden Death and Defibrillators in Transposition of the Great Arteries With Intra-atrial Baffles: A Multicenter Study Circ Arrhythmia Electrophysiol, October 1, 2008; 1(4): 250 - 257. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Horer, E. Karl, G. Theodoratou, C. Schreiber, J. Cleuziou, Z. Prodan, M. Vogt, and R. Lange Incidence and results of reoperations following the Senning operation: 27 years of follow-up in 314 patients at a single center Eur. J. Cardiothorac. Surg., June 1, 2008; 33(6): 1061 - 1067. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Lange, J. Horer, M. Kostolny, J. Cleuziou, M. Vogt, R. Busch, K. Holper, H. Meisner, J. Hess, and C. Schreiber Presence of a Ventricular Septal Defect and the Mustard Operation Are Risk Factors for Late Mortality After the Atrial Switch Operation: Thirty Years of Follow-Up in 417 Patients at a Single Center Circulation, October 31, 2006; 114(18): 1905 - 1913. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L Dos, L Teruel, I J Ferreira, J Rodriguez-Larrea, L Miro, J Girona, D C Albert, A Goncalves, M Murtra, and J Casaldaliga Late outcome of Senning and Mustard procedures for correction of transposition of the great arteries Heart, May 1, 2005; 91(5): 652 - 656. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Dodge-Khatami, A. Kadner, F. Berger, H. Dave, M. I. Turina, and R. Pretre In the Footsteps of Senning: Lessons Learned From Atrial Repair of Transposition of the Great Arteries Ann. Thorac. Surg., April 1, 2005; 79(4): 1433 - 1444. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. C. Poirier, J.-H. Yu, C. P. Brizard, and R. B. B. Mee Long-term results of left ventricular reconditioning and anatomic correction for systemic right ventricular dysfunction after atrial switch procedures J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 975 - 981. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P Moons, M Gewillig, T Sluysmans, H Verhaaren, P Viart, M Massin, B Suys, W Budts, A Pasquet, D De Wolf, et al. Long term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium Heart, March 1, 2004; 90(3): 307 - 313. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. G. Williams, B. W. McCrindle, D. A. Ashburn, R. A. Jonas, C. Mavroudis, E. H. Blackstone, and the members of the Congenital Heart Surgeon's Soci Outcomes of 829 neonates with complete transposition of the great arteries 12-17 years after repair Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 1 - 10. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. H. Hovels-Gurich, M.-C. Seghaye, Q. Ma, M. Miskova, R. Minkenberg, B. J. Messmer, and G. von Bernuth Long-term results of cardiac and general health status in children after neonatal arterial switch operation Ann. Thorac. Surg., March 1, 2003; 75(3): 935 - 943. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. J. Devaney, J. R. Charpie, R. G. Ohye, and E. L. Bove Combined arterial switch and Senning operation for congenitally corrected transposition of the great arteries: Patient selection and intermediate results J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 500 - 507. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ando, B. W. Duncan, and R. B.B. Mee Anatomic correction for corrected transposition after pulmonary unifocalization Ann. Thorac. Surg., March 1, 2003; 75(3): 1012 - 1014. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. K.F. Hon, P. Steendijk, M. Petrou, K. Wong, and M. H. Yacoub Influence of clenbuterol treatment during six weeks of chronic right ventricular pressure overload as studied with pressure-volume analysis J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 767 - 774. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Losay, A. Touchot, A. Serraf, A. Litvinova, V. Lambert, J. D. Piot, F. Lacour-Gayet, A. Capderou, and C. Planche Late Outcome After Arterial Switch Operation for Transposition of the Great Arteries Circulation, September 18, 2001; 104(90001): I-121 - 126. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. P. Nieminen, E. V. Jokinen, and H. I. Sairanen Late Results of Pediatric Cardiac Surgery in Finland: A Population-Based Study With 96% Follow-Up Circulation, July 31, 2001; 104(5): 570 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. Amin, D. B. McElhinney, P. Moore, V. M. Reddy, and F. L. Hanley Coronary arterial size late after the atrial inversion procedure for transposition of the great arteries: Implications for the arterial switch operation J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1047 - 1052. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Kreutzer, J. De Vive, G. Oppido, J. Kreutzer, K. Gauvreau, M. Freed, J. E. Mayer Jr, R. Jonas, and P. J. del Nido Twenty-five-year experience with Rastelli repair for transposition of the great arteries J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 211 - 223. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mavroudis and C. L. Backer Arterial switch after failed atrial baffle procedures for transposition of the great arteries Ann. Thorac. Surg., March 1, 2000; 69(3): 851 - 857. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
