Volume 11 Issue 3
Six years’ experience with Senning operation in a university hospital
1Dr Faiz Rasool, 2Dr syed sardar Rahim, 3Dr muhammad sarwar, 4Dr Salman Ahmad Shah, 5Dr Asim Khan
1Associate Professor pf pediatric cardiac surgery
Children’s hospital Lahore
2SR ped cardiac surgery
3Associate professor of Pediatric Intensive Care
4Preofessor of Pediatic Cardiac Surgery
5Professor of Pediatric Cardiac Surgery
Corresponding author:
Faiz Rasool. Associate Professor of Pediatric Cardiac/Cardiovascular Surgery, Children’s Hospital Lahore
Abstract
Background: Transposition of the great arteries TGA) is the a common cyanotic congenital heart defect, accounting for 5% of all congenital heart diseases. 1 Ideally the patients should undergo arterial switch operation for TGA which is done at the age of less than 3 weeks. 2 in developing countries like ours, late presentation and diagnosis of TGA patients make arterial switch operation impossible. At delayed age, Senning operation is performed which is physiological repair of TGA
Patients and Methods: Design: retrospective . setting: Children’s Hospital/ university of Child Health Sciences Lahore. Duration : 6 years ( from January 2018 to December 2023). Record of all the patients who underwent Senning operation was reviewed.
Results: 77 patients had Senning operation for transposition of Great Arteries in last 6 years. 73 (95%) were successfully discharged home. Mean age was 4.2years and mean weight was 10.5kg. 4 patients died of low cardiac output.
Conclusion: In developing countries where diagnosis of TGA is delayed due to different reasons, the Senning operation can make remarkable difference in the life of these patients . In the expert hands, it is safe and reproducible operation with good outcome.