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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.
Insights
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.
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.
Abstract:
Numerous technical modifications and various complications of the Senning procedure have been described in the literature. We describe the excellent clinical status and anatomic result of a 33-year-old patient who underwent a modified Senning operation using the left atrial appendage for reconstruction more than 30 years prior to presentation.
