Senning repair

Dr Azza Elgendy ◉ and Dr Matt A. Morgan ◉ et al.

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 right ventricle and toward the left ventricle. As the main pulmonary artery comes off the left ventricle 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 arterial switch procedure is now preferred to correct transposition, partly to avoid this complication.

References

Congenital heart disease

There is more than one way to present the variety of congenital heart diseases. Whichever way they are categorized, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.

congenital heart disease
- subtypes
- normal relationship between chambers and valves
  - shunting
  - stenosis
    - atrioventricular valves
    - outflow tract
    - great vessels
      - coarctation of the aorta
      - interrupted aortic arch
    - venous inflow
      - partial anomalous pulmonary venous return
      - total anomalous pulmonary venous return
  - hypoplasia
    - hypoplastic left heart syndrome
    - hypoplastic right heart syndrome
  - anomalous valves
    - Ebstein anomaly
- abnormal relationship of chambers and valves
  - atrioventricular abnormality
    - when associated with a univentricular heart
      - double inlet right ventricle
      - double inlet left ventricle
    - atrioventricular discordance
  - great vessel connection abnormality
    - conotruncal cardiac anomalies
      - transposition of the great arteries
        
        D-loop transposition of the great arteries
        
        L-loop transposition of the great arteries
      - tetralogy of Fallot
      - truncus arteriosus
      - double outlet left ventricle
      - double outlet right ventricle
        Taussig-Bing anomaly
    - pentalogy of Cantrell
    - Shone syndrome
- congenital heart disease - chest x-ray approach
- surgical repairs (mnemonic)

Article information

rID: 31939

System: Cardiac, Paediatrics

Tag: cardiac, surgery

Synonyms or Alternate Spellings:

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Cases and figures

Oxygenated blood ...

Case 1: axial SSFPCase 1: axial SSFP

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d-TGA with atrial switchd-TGA with atrial switch

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