The Journal of Thoracic and Cardiovascular Surgery, Vol 76, 305-311, Copyright © 1978 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
The Senning operation for transposition of the great arteries
L Parenzan, G Locatelli, O Alfieri, M Villani and G Invernizzi
The original Senning technique of interatrial transposition of venous
return was selectively employed for physiological correction in 24 patients
with transposition of the great arteries (TGA) ranging in age from 74 days
to 26 months (median 7 months). Twenty-three had intact ventricular septum
and one had a large ventricular septal defect and diaphragmatic
subpulmonary stenosis. There were no hospital or late deaths, and at
follow-up examination 1.5 to 12 months postoperatively, each patient was
asymptomatic, in normal sinus rhythm, and had no clinical evidence of caval
or pulmonary venous obstruction. Nine patients underwent cardiac
catheterization and angiocardiographic studies between 1.3 and 9 months
postoperatively which demonstrated widely patent venous pathways and
effective "left" and "right" atrial contraction. This experience lends
support to the continued use of the Senning technique for interatrial
transposition of venous return.
