Pericardial baffle complications following the Mustard operation

Çobanoğlu, Adnan; Abbruzzese, Pietro A.; Freimanis, Imanta E.; Garcia, Cristiane Sousa Nascimento Baez; Grunkemeier, Gary L.; Starr, Albert

doi:10.1016/s0022-5223(19)37387-8

Cited by 27 publications

(5 citation statements)

References 26 publications

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“…From the historical point of view, the atrial switch operation preceded the arterial switch operation. Despite the age-related incidence of baffle stenosis, 13 however, the main disadvantage of the atrial switch operation is the incorporation of the right ventricle into the systemic circulation. With time, increasing numbers of patients with diminished exercise tolerance 14 and impaired systemic right ventricular function 15 have been reported.…”

Section: Discussionmentioning

confidence: 99%

Improvement in long-term survival after hospital discharge but not in freedom from reoperation after the change from atrial to arterial switch for transposition of the great arteries

Hörer

Schreiber

Cleuziou

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Improvement in long-term survival after hospital discharge but not in freedom from reoperation after the change from atrial to arterial switch for transposition of the great arteries

Hörer

Schreiber

Cleuziou

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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“…The technique proposed by Mustard was the procedure of choice for correction of simple TGA from 1965 to 1982 3 . However, a 1982 survey conducted in several institutions showed a high incidence of complications caused by the synthetic flaps used in the procedure 10 , 11 . Since the Senning procedure is only performed with autogenous tissues, it has allowed most patients to reach adulthood, with a survival rate of 88% after 20 years and with a late mortality of 9.4% according to Roubertie et al 12 .…”

Section: Discussionmentioning

confidence: 99%

Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension

Penha¹,

Zorzanelli²,

Lopes³

et al. 2015

Arquivos Brasileiros De Cardiologia

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BackgroundTransposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level.ObjectiveReport our institutional experience with the palliative Senning procedure in children diagnosed with TGA and double outlet right ventricle with severe pulmonary vascular disease, and to evaluate the early and late clinical progression of the palliative Senning procedure.MethodsRetrospective study based on the evaluation of medical records in the period of 1991 to 2014. Only patients without an indication for definitive surgical treatment of the cardiopathy due to elevated pulmonary pressure were included.ResultsAfter one year of follow-up there was a mean increase in arterial oxygen saturation from 62.1% to 92.5% and a mean decrease in hematocrit from 49.4% to 36.3%. Lung histological analysis was feasible in 16 patients. In 8 patients, pulmonary biopsy grades 3 and 4 were evidenced.ConclusionThe palliative Senning procedure improved arterial oxygen saturation, reduced polycythemia, and provided a better quality of life for patients with TGA with ventricular septal defect, severe pulmonary hypertension, and poor prognosis.

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“…4,5 Trivial baffle leaks with bidirectional shunts occur in about 15% of patients, and superior vena caval obstruction can occur late postoperatively in 5% to 10% of patients. 6 Transthoracic echocardiography is often inadequate for evaluating baffle function because of the distance between the chest wall and the baffle. 4 Magnetic resonance imaging can be useful, but it cannot be performed in any patient with a permanent pacemaker.…”

Section: Discussionmentioning

confidence: 99%

Use of Intracardiac Echocardiography in Guiding Radiofrequency Catheter Ablation of Atrial Tachycardia in a Patient After the Senning Operation

Kedia

Hsu

Holmes

et al. 2003

Pacing Clinical Electrophis

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A patient with D-transposition of the great arteries developed drug refractory atrial tachycardia 12 years after a Senning operation. Electrophysiological study confirmed the presence of atrial baffle-tricuspid valve isthmus dependent reentrant intraatrial tachycardia. Intracardiac echocardiography facilitated initial identification of structures, catheter positioning, and identification of the atrial baffle-tricuspid valve isthmus.

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Pericardial baffle complications following the Mustard operation

Cited by 27 publications

References 26 publications

Improvement in long-term survival after hospital discharge but not in freedom from reoperation after the change from atrial to arterial switch for transposition of the great arteries

Improvement in long-term survival after hospital discharge but not in freedom from reoperation after the change from atrial to arterial switch for transposition of the great arteries

Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension

Use of Intracardiac Echocardiography in Guiding Radiofrequency Catheter Ablation of Atrial Tachycardia in a Patient After the Senning Operation

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