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Thirty-three years old modified senning operation.

Alkiviadis Michalis¹, Meletios A Kanakis², Vassilios Thanopoulos³

¹Department of Cardiac Surgery, Onassis Cardiac Surgery Center.

The Korean Journal of Thoracic and Cardiovascular Surgery

|September 11, 2014

Summary

A modified Senning procedure using the left atrial appendage for reconstruction resulted in excellent long-term clinical status and anatomical results. This demonstrates the durability of this surgical technique for congenital heart disease patients.

Keywords:

Cardiac surgical procedure Congenital heart disease (CHD)Transposition of the great arteries

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Area of Science:

Cardiology
Congenital Heart Surgery

Background:

The Senning procedure is a common surgical technique for treating d-transposition of the great arteries.
Numerous modifications and complications have been reported, highlighting the need for reliable surgical approaches.

Observation:

A 33-year-old patient presented with excellent clinical status and anatomical results after a modified Senning operation.
The modification involved using the left atrial appendage for reconstruction.

Findings:

The patient's long-term follow-up (over 30 years) demonstrated the efficacy and durability of the modified Senning procedure.
Excellent anatomical and clinical outcomes were achieved, suggesting a favorable long-term prognosis.

Implications:

This case report supports the use of the left atrial appendage in modified Senning operations for complex congenital heart disease.
The findings suggest that this surgical modification can lead to excellent long-term outcomes, potentially improving quality of life for patients.