Senning repair

Changed by Matt A. Morgan, 7 Nov 2014

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The Senning repair is one of two "atrial switch" procedures used to functionally correct transposition of the great arteries (the other being the Mustard repair).

The two repairs share a similar fundamental principle. Systemic blood flow is redirected away from the RV and toward the LV. ~~Essentially~~ Because the main pulmonary artery comes off the LV in transposition, essentially "two wrongs make a right."

~~The~~One of the main adverse ~~effect~~effects of ~~these atrial switch procedures is~~the Senning repair is arrhythmia. During creation of the septal baffle and ~~redirected~~redirection of the atrial flow, the sinoatrial node ~~is often~~may be injured. The Senning repair has a lower rate of arrhythmia than the Mustard repair, but the arterial switch procedure is now preferred to correct transposition, partly to avoid this complication.

-The Senning repair is one of two "atrial switch" procedures used to functionally correct <a title="Transposition of the great arteries" href="/articles/transposition-of-the-great-arteries">transposition of the great arteries</a> (the other being the <a title="Mustard repair" href="/articles/mustard-repair">Mustard repair</a>). The two repairs share a similar fundamental principle. Systemic blood flow is redirected away from the RV and toward the LV. Essentially "two wrongs make a right."The main adverse effect of these atrial switch procedures is arrhythmia. During creation of the baffle and redirected atrial flow, the sinoatrial node is often injured. The Senning repair has a lower rate of arrhythmia than the Mustard repair, but the <a title="Arterial switch procedure" href="/articles/arterial-switch-procedure">arterial switch procedure</a> is now preferred to correct transposition, partly to avoid this complication.
+The Senning repair is one of two "atrial switch" procedures used to functionally correct <a href="/articles/transposition-of-the-great-arteries">transposition of the great arteries</a> (the other being the <a href="/articles/mustard-repair">Mustard repair</a>). The two repairs share a similar fundamental principle. Systemic blood flow is redirected away from the RV and toward the LV. Because the main pulmonary artery comes off the LV in transposition, essentially "two wrongs make a right."One of the main adverse effects of the Senning repair is arrhythmia. During creation of the septal baffle and redirection of the atrial flow, the sinoatrial node may be injured. The Senning repair has a lower rate of arrhythmia than the Mustard repair, but the <a href="/articles/arterial-switch-procedure">arterial switch procedure</a> is now preferred to correct transposition, partly to avoid this complication.

References changed:

1. Fuster V, Walsh R, Harrington R. Hurst's the heart. McGraw-Hill Professional. ISBN:0071636463. <a href="http://books.google.com/books?vid=ISBN0071636463">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0071636463">Find it at Amazon</a>
1. Fuster V, Walsh R, Harrington R. Hurst's the heart. McGraw-Hill Professional. ISBN:0071636463. <a href="http://books.google.com/books?vid=ISBN0071636463">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0071636463">Find it at Amazon</a>
2. Brunicardi F, Andersen D, Billiar T et-al. Schwartz's Principles of Surgery, 10th edition. McGraw-Hill Professional. ISBN:0071796754. <a href="http://books.google.com/books?vid=ISBN0071796754">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0071796754">Find it at Amazon</a>
1. 1. Fuster V, Walsh R, Harrington R. Hurst's the heart. McGraw-Hill Professional. ISBN:0071636463. <a href="http://books.google.com/books?vid=ISBN0071636463">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0071636463">Find it at Amazon</a>

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