ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mid-term results of patients with transposition of great arteries who underwent Senning procedure
Hazım Alper Gürsu1, Birgül Varan1, Murat Özkan2, Kürşat Tokel3, İlkay Erdoğan1
Başkent Üniversitesi Tıp Fakültesi, Ankara, Türkiye
1Başkent Üniversitesi Tıp Fakültesi, Çocuk Kardiyoloji Bilim Dalı, Ankara, Türkiye
2Başkent Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara, Türkiyez
3Başkent Üniversitesi Tıp Fakültesi, Çocuk Kardiyoloji Bilim Dalı, İstanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2014.9518
Background: This study aims to evaluate mid-term follow-up results for patients with transposition of great arteries to whom Senning procedure was performed.

Methods: Files of 95 child patients (63 boys, 22 girls; mean age 15.2±23.9 months; range 1 month to 12.5 years), who were diagnosed with transposition of great arteries and underwent atrial switch operation in our institute, were retrospectively evaluated. In the follow-ups; physical examination, electrocardiography, and echocardiography were performed. In addition, ambulatory electrocardiography monitorization was conducted on 25 patients.

Results: Out of 95 patients who were performed atrial switch operation, 10 died in the postoperative period. The mean follow-up period was 33.4±43.7 months (1-16 years; mean 18 months). During the follow-ups, arrhythmia was detected in 25.8% of the patients, stenosis of pulmonary venous baffle was detected in 21.2%, systolic dysfunction of the right ventricle was detected in 19%, severe tricuspid valve insufficiency was detected in 18.9%, and baffle leak was detected in 15.3%. Of the patients, 11.7% were operated a second time, and 8.2% were reoperated due to stenosis of pulmonary venous baffle.

Conclusion: Short and mid-term results of Senning procedure are not satisfactory. Patients should be monitored for possible right ventricle dysfunction, arrhythmia, systemic valve insufficiency, and stenosis of the tunnel.

Keywords : Arrhythmia; postoperative complications; surgery; transposition of great vessels
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