Stato attuale della correzione fisiologica secondo Senning della trasposizione dei grossi vasi. Esperienza personale.

Translated title of the contribution: Current status of Senning's physiologic correction of transposition of the great vessels. Personal experience

A. Frigiola, L. Menicanti, A. Castellani, M. Liistro, G. P. Belloli

Research output: Contribution to journalArticlepeer-review

Abstract

From January 1978 to December 1985, 70 children affected by TGA have been operated with the Senning operation. Among the 70 cases, 64 were simple TGA and 6 were TGA + VSD. The mean age at operation was 6 months (range 2 day - 3 years). Of 64 cases with simple TGA, two (respectively of 2 days and 40 days) died with an operative mortality rate of 3.1% of 6 cases with TGA and VSD, one died with a mortality rate of 16.6%. The total mortality was 4.2%. Since 1981 in a continuative series of 47 patients there were no deaths. Our current policy is now the following: after the diagnosis of simple TGA by ECHO, if the Rashkind septostomy is successful, we perform Senning operation over 3 months; if the Rashkind is unsuccessful, we give prostaglandin (PGE1) for a long period (25-30 days) and in case we do a Blalock-Hanlon septectomy. In conclusion we think that in our hands, the policy followed in the treatment of simple TGA is justified by the results achieved but this policy does not prevent us from using different techniques if the results are better.

Translated title of the contributionCurrent status of Senning's physiologic correction of transposition of the great vessels. Personal experience
Original languageItalian
Pages (from-to)169-171
Number of pages3
JournalPediatria Medica e Chirurgica
Volume8
Issue number2
Publication statusPublished - Mar 1986

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Current status of Senning's physiologic correction of transposition of the great vessels. Personal experience'. Together they form a unique fingerprint.

Cite this