The modified Senning operation for cavopulmonary connection with autologous tissue

A modified Senning technique was used for intraatrial channeling of the systemic venous blood into the pulmonary arteries to create a Fontan circulation in 26 children, six with tricuspid atresia and 20 with complex congenital heart disease. In this technique a flap of atrial free wall tissue is use...

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Bibliographic Details
Published in:The Journal of thoracic and cardiovascular surgery 1994-08, Vol.108 (2), p.377-380
Main Authors: van de Wal, Henry J.C.M., Tanke, Ronald F., Roef, Mark J.
Format: Article
Language:English
Subjects:
Adolescent
Arteriovenous Shunt, Surgical - methods
Biological and medical sciences
Cardiac Surgical Procedures - methods
Child
Child, Preschool
Follow-Up Studies
Heart Atria - surgery
Heart Defects, Congenital - surgery
Humans
Infant
Medical sciences
Pulmonary Artery - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Treatment Outcome
Tricuspid Valve - abnormalities
Vena Cava, Inferior - surgery
Vena Cava, Superior - surgery
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Summary:A modified Senning technique was used for intraatrial channeling of the systemic venous blood into the pulmonary arteries to create a Fontan circulation in 26 children, six with tricuspid atresia and 20 with complex congenital heart disease. In this technique a flap of atrial free wall tissue is used to create an atrial tunnel without artificial material. Eight patients had subaortic stenosis and required a Damus-Kay-Stansel procedure, in addition. Early mortality was two of 26 and late mortality one of 26. Pleural effusion was encountered in 17 of 26 patients, of whom four had a pericardial effusion, in addition. One patient required pacemaker implantation for complete atrioventricular block. Follow-up ranged from 2 months to 5 years. In this period the ability level index rose by one level. No thrombi were encountered in the right atrium/cavopulmonary tunnel. One patient required antiarrhythmic medication. Protein-losing enteropathy was diagnosed in one patient. Conclusion: This modified Senning technique has the advantage of avoiding the use of prosthetic material in the creation of a Fontan circulation and the potential for fewer long-term complications. (J THORAC CARDIOVASC SURG 1994;108:377-80)
ISSN:0022-5223
1097-685X
DOI:10.1016/S0022-5223(94)70021-4