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The modified Senning operation - surgical aspects.

Krishna Subramony Iyer1

  • 1Department of Pediatric & Congenital Heart Surgery, Fortis Escorts Heart Institute, New Delhi, India.

Annals of Pediatric Cardiology
|October 20, 2021
PubMed
Summary
This summary is machine-generated.

The atrial switch operation remains crucial for late-presenting transposition of great arteries (TGA) in resource-limited settings. This article details the intricate surgical steps for this vital cardiac procedure.

Keywords:
Senning operationTransposition of Great Arteriesatrial switch

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology

Background:

  • The arterial switch operation has largely replaced the atrial switch operation for transposition of great arteries (TGA).
  • The atrial switch operation's use is now limited to specific complex congenital heart diseases, including the atrial component of the double-switch operation for congenitally corrected TGA.
  • In resource-limited countries, the atrial switch operation remains a relevant treatment for TGA patients with late presentation and a regressed left ventricle.

Purpose of the Study:

  • To provide a detailed "how I do it" guide for the atrial switch operation.
  • To enable surgeons to learn and perform this intricate cardiac procedure.
  • To highlight the continued relevance of the atrial switch operation in specific clinical scenarios.

Main Methods:

  • Detailed step-by-step description of the atrial switch operation.
  • Emphasis on potential surgical pitfalls and their management.
  • Instructional guide for surgical training.

Main Results:

  • The article serves as a comprehensive surgical manual for the atrial switch operation.
  • It aims to improve surgeon proficiency in managing complex TGA cases.
  • The procedure's technical intricacies are elucidated for educational purposes.

Conclusions:

  • The atrial switch operation, though less common, is a vital procedure in specific contexts, particularly in resource-limited settings for late-presenting TGA.
  • Mastery of this intricate operation is essential for surgeons managing congenital heart disease.
  • This guide facilitates the adoption and execution of the atrial switch operation in surgical practice.