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senning transposition of the great arteries

https://read.qxmd.com/read/38506056/modified-senning-procedure-in-a-patient-with-dextrocardia-with-left-atrial-isomerism-and-anomalous-systemic-venous-drainage-a-rare-case-report
#1
JOURNAL ARTICLE
Sayar Kumar Munshi, Caroline Jones, Ramana Dhannapuneni
The atrial switch procedure by Senning or Mustard technique primarily aims in correcting parallel systemic and pulmonary circulations at atrial level. This procedure may be used in late presenting D-transposition of great arteries with a deconditioned left ventricle, congenitally corrected transposition of great arteries and isolated ventricular inversion. We describe the case of a child with dextrocardia, left atrial isomerism with complex pulmonary and systemic venous drainage resulting in mixing at atrial level...
March 20, 2024: Cardiology in the Young
https://read.qxmd.com/read/38321756/results-of-the-double-switch-operation-in-patients-who-previously-underwent-left-ventricular-retraining
#2
JOURNAL ARTICLE
L Mac Felmly, Richard D Mainwaring, Deborah Y Ho, Alisa Arunamata, Claudia Algaze, Frank L Hanley
BACKGROUND: Congenitally corrected transposition of the great arteries (CC-TGA) is a complex form of congenital heart disease that has numerous subtypes. While most patients with CC-TGA have a large ventricular septal defect (VSD) and pulmonary stenosis, there are some patients who have either no VSD or a highly restrictive VSD. These patients will require left ventricular (LV) retraining prior to double switch. The purpose of this study was to review our experience with the double switch procedure in patients who had previously undergone LV retraining...
February 6, 2024: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/37584208/triple-switch-aortic-and-pulmonary-root-inversion-and-modified-senning-procedure-for-anatomically-complex-left-transposition-of-the-great-arteries-with-inlet-ventricular-septal-defect-and-pulmonary-stenosis
#3
Tomasz Nalecz, Ludmila Bédert, Jalal Jolou, Julie Wacker, Maurice Beghetti, René Prêtre, Tornike Sologashvili
Left transposition of the great arteries with inlet ventricular septal defect and pulmonary stenosis is a relatively uncommon cardiac malformation. Two surgical treatments are available: double switch or physiological correction. The choice of surgical technique depends on the results of a discussion between the family and the surgeon. Choosing the appropriate technique is challenging because all options present various complications and benefits. We present a 'triple switch' aortic and pulmonary root inversion and modified Senning procedure for an anatomically complex left transposition of the great arteries with an inlet ventricular septal defect and pulmonary stenosis...
August 16, 2023: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/37526234/noninvasive-ecg-imaging-of-the-intrinsic-atrial-pacemaker-and-atrial-activation-in-surgically-repaired-or-palliated-congenital-heart-disease
#4
JOURNAL ARTICLE
Benjamin M Moore, Ahmed Al-Kaisy, Subodh B Joshi, Elaine Lui, Leanne E Grigg, Jonathan M Kalman
INTRODUCTION: Sinus node location, function, and atrial activation are often abnormal in patients with congenital heart disease (CHD), due to anatomical, surgical, and acquired factors. We aimed to perform noninvasive electrocardiographic imaging (ECGI) of the intrinsic atrial pacemaker and atrial activation in patients with surgically repaired or palliated CHD, compared with control patients with structurally normal hearts. METHODS AND RESULTS: Atrial ECGI was performed in eight CHD patients with prespecified diagnoses (Fontan circulation, dextro transposition of the great arteries post Mustard/Senning, tetralogy of Fallot), and three controls...
August 1, 2023: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/37453129/prognostic-significance-of-subpulmonary-left-ventricular-size-and-function-in-patients-with-a-systemic-right-ventricle
#5
JOURNAL ARTICLE
Elena Surkova, Andrew Constantine, Zhuoyuan Xu, Teresa Segura de la Cal, Daniela Bispo, Cathy West, Roxy Senior, Konstantinos Dimopoulos, Wei Li
AIM: To assess the additional prognostic significance of echocardiographic parameters of subpulmonary left ventricular (LV) size and function in patients with a systemic right ventricle (SRV). METHODS AND RESULTS: All adults with a SRV who underwent transthoracic echocardiography in 2010-2018 at a large tertiary center were identified. Biventricular size and function were assessed at the most recent exam. The study endpoint was all-cause mortality or heart/heart-lung transplantation...
July 15, 2023: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/37396333/survival-into-the-seventh-decade-of-life-following-mustard-repair
#6
JOURNAL ARTICLE
Matthew Peters, Steven Port, Heather Sanders, Nasir Sulemanjee, A Jamil Tajik
Atrial switch procedures (Senning and Mustard) for transposition of the great arteries have largely been abandoned for arterial switch procedures. The number of surviving patients who have undergone atrial switch procedures is declining. We present a case of the oldest known survivor (aged 67 years) of the Mustard procedure. ( Level of Difficulty: Beginner. ).
June 21, 2023: JACC. Case reports
https://read.qxmd.com/read/37233186/long-term-follow-up-of-patients-with-systemic-right-ventricle-and-biventricular-physiology-a-single-centre-experience
#7
JOURNAL ARTICLE
Cristina Ciuca, Anna Balducci, Emanuela Angeli, Mariateresa Di Dio, Gabriele Egidy Assenza, Elisabetta Mariucci, Luca Ragni, Luigi Lovato, Fabio Niro, Valentina Gesuete, Lucio Careddu, Ylenia Bartolacelli, Ambra Bulgarelli, Andrea Donti, Gaetano Domenico Gargiulo
BACKGROUND: A progressively increasing prevalence of congenital heart disease (CHD) in adulthood has been noticed in recent decades; CHD cases with a systemic right ventricle have a poorer outcome. METHODS: Seventy-three patients with SRV evaluated in an outpatient clinic between 2014 and 2020 were enrolled in this study. Thirty-four patients had a transposition of the great arteries treated with an atrial switch operation; 39 patients had a congenitally corrected transposition of the great arteries (ccTGA)...
May 17, 2023: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/37220239/myocardial-perfusion-scintigraphy-in-a-patient-with-transposition-of-great-arteries-post-atrial-switch-surgery
#8
JOURNAL ARTICLE
Aliaa Mohd Radzi, Ching Yeen Boey, Siti Zarina Amir Hassan
We report a case of a 33-year-old woman who underwent stress and rest myocardial perfusion scintigraphy (MPS) to exclude coronary artery disease. MPS images showed an apparent dextrocardia with a right-sided septal wall uptake. The electrocardiograph showed a right axis deviation with dominant R waves at leads aVR and V1. Upon retrieval of the patient's medical records, she had an underlying transposition of great arteries and underwent a Senning atrial switch surgery. Hence, the MPS images demonstrated a prominent right ventricular wall due to its function as the "systemic" ventricle with minimal uptake in the "pulmonary" left ventricle...
May 23, 2023: Clinical Nuclear Medicine
https://read.qxmd.com/read/37103059/cardiac-fibrosis-and-innervation-state-in-uncorrected-and-corrected-transposition-of-the-great-arteries-a-postmortem-histological-analysis-and-systematic-review
#9
JOURNAL ARTICLE
Leo J Engele, Roel L F van der Palen, Anastasia D Egorova, Margot M Bartelings, Lambertus J Wisse, Claire A Glashan, Philippine Kiès, Hubert W Vliegen, Mark G Hazekamp, Barbara J M Mulder, Marco C De Ruiter, Berto J Bouma, Monique R M Jongbloed
In the transposition of the great arteries (TGA), alterations in hemodynamics and oxygen saturation could result in fibrotic remodeling, but histological studies are scarce. We aimed to investigate fibrosis and innervation state in the full spectrum of TGA and correlate findings to clinical literature. Twenty-two human postmortem TGA hearts, including TGA without surgical correction (n = 8), after Mustard/Senning (n = 6), and arterial switch operation (ASO, n = 8), were studied. In newborn uncorrected TGA specimens (1 day-1...
April 20, 2023: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/37009369/mid-term-outlook-following-modified-senning-s-operation-for-the-correction-of-transposition-of-the-great-arteries-a-case-series-and-review-of-literature
#10
Vishal V Bhende, Tanishq S Sharma, Krishnan Ganapathy Subramaniam, Ashwin S Sharma, Amit Kumar, Purvi R Patel, Gurpreet Panesar, Kunal A Soni, Kartik B Dhami, Nirja P Patel, Hardil P Majmudar, Sohilkhan R Pathan
At the time of writing, two patients who underwent modified Senning's operation (MSO) for the treatment of transposition of great arteries (TGAs) were followed up. At the time of surgery, the patients were three months and 15 years old, respectively. The duration of the follow-up was three years, during which there was a good prognosis, and hence no further invasive treatments were required. There was normal functioning of the right ventricle (RV) in both patients, with the exception of a minor baffle leak in the three-month-old patient...
March 2023: Curēus
https://read.qxmd.com/read/36975893/contemporary-management-strategies-of-baffle-leaks-in-adults-with-a-failing-systemic-right-ventricle-late-after-atrial-switch-a-case-series-and-literature-overview
#11
Ralph M L Neijenhuis, Madelien V Regeer, Frank van der Kley, Hubert W Vliegen, Monique R M Jongbloed, Philippine Kiès, Martin J Schalij, J Wouter Jukema, Anastasia D Egorova
Baffle leaks are a frequently encountered and often overlooked complication after the atrial switch procedure for transposition of the great arteries. Baffle leaks are present in up to 50% of non-selected patients, and while they initially may not cause clear symptoms, they can complicate the hemodynamic course and influence the prognosis in this complex patient group. A shunt from the pulmonary venous atrium (PVA) to the systemic venous atrium (SVA) can lead to pulmonary overflow and subpulmonary left ventricular (LV) volume overload, while a shunt from the SVA to the PVA can result in (exercise-associated) cyanosis and paradoxical embolism...
March 17, 2023: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/36970158/aortic-dissection-in-a-patient-with-novel-frameshift-col5a1-variant-of-classical-ehlers-danlos-syndrome
#12
JOURNAL ARTICLE
Lídia Caley, Ana Campar, Teresa Mendonça, Fátima Farinha
UNLABELLED: Classical Ehlers-Danlos syndrome (cEDS) is one of the 13 subtypes of Ehlers-Danlos syndrome, which has the major clinical criteria of hyperextensibility skin, atrophic scars, and generalised joint hypermobility. The occurrence of aortic dissection has been described in some subtypes of Ehlers-Danlos, but it has a rare association with the cEDS subtype. This case report discusses a 39-year-old female with a past medical history of transposition of great arteries with a Senning repair at the age of 18 months and controlled hypertension with medication, who presents a spontaneous distal aortic dissection...
2023: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/36803008/leadless-micra-pacemaker-implantation-in-patient-with-previous-senning-procedure-for-dextro-transposition-of-the-great-arteries
#13
JOURNAL ARTICLE
Daniel Lancini, Corey Smith, Osama Elkhateeb, John Sapp, Ratika Parkash
Leadless pacemakers have been developed with key advantages over traditional transvenous pacemakers by substantially mitigating the risks of device infection and lead related complications, and providing an alternative pacing strategy in patients with barriers to superior venous access. The Medtronic Micra leadless pacing system is designed for implantation through a femoral venous approach across the tricuspid valve, via Nitinol tine fixation into the trabeculated subpulmonic right ventricle. Patients with surgically corrected dextro-transposition of the great arteries (d-TGA) have an increased risk of pacing requirement...
February 21, 2023: Acta Cardiologica
https://read.qxmd.com/read/36690768/evaheart-2-with-double-cuff-tipless-inflow-cannula-is-suitable-for-long-term-support-atrial-switch-operation-in-transposition-of-great-arteries
#14
JOURNAL ARTICLE
Sawako Furukawa, Osamu Kinoshita, Masahiko Ando, Minoru Ono
Implantation of continuous-flow left ventricular assist device in a narrow lumen is technically challenging to secure an optimal support. We experienced a patient with the transposition of the great arteries after the Senning procedure who was initially implanted with Jarvik 2000®. She presented with worsening heart failure symptoms 2 years after implanting Jarvik 2000®. We assumed that the inflow cannula was stuck in the highly developed trabeculae on the interventricular septum, which disturbed the VAD to maintain an expected support...
January 23, 2023: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
https://read.qxmd.com/read/36590051/successful-completion-of-senning-surgery-in-a-patient-with-dextro-transposition-of-the-great-arteries-dtga-with-presentation-in-the-fourth-decade
#15
JOURNAL ARTICLE
Herin Patel, Praveen Dontineni, Ramesh Patel, Kamayani Shukla, Amit Mishra
Transposition of great arteries (TGA) is a common congenital heart disease presenting in newborns. Nearly 90% of patients with TGA with intact interventricular septum die by one year of age if not treated. We present an interesting case of The Senning procedure , which was successfully performed on a 40-year-old lady.
January 2023: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/36458541/safety-and-efficacy-of-sacubitril-valsartan-in-patients-with-a-failing-systemic-right-ventricle-a-prospective-single-center-study
#16
JOURNAL ARTICLE
Flavia Fusco, Giancarlo Scognamiglio, Assunta Merola, Angela Iannuzzi, Michela Palma, Nicola Grimaldi, Berardo Sarubbi
BACKGROUND: Sacubitril/valsartan was demonstrated to reduce hospitalization rate and mortality in patients with heart failure with reduced ejection fraction. Data on the effects of sacubitril/valsartan in patients with a systemic right ventricle are still lacking. METHODS: Patients with transposition of the great arteries following Senning/Mustard procedure or congenitally corrected transposition of the great arteries with impaired systemic right ventricle systolic function were prospectively included...
February 2023: Circulation. Heart Failure
https://read.qxmd.com/read/36401779/septic-pulmonary-embolism-secondary-to-prosthetic-conduit-fungal-endocarditis-in-a-child
#17
JOURNAL ARTICLE
Yuki Nakayama, Takeshi Shinkawa, Mikiko Ishido, Hiroshi Niinami
An 11 year-old boy underwent pulmonary vegetectomy and right ventricle-to-pulmonary artery conduit replacement for septic pulmonary embolism secondary to prosthetic conduit fungal endocarditis. He had previous surgical history of Senning/Rastelli procedure for corrected transposition of the great arteries at 5 years old. He was diagnosed with prosthetic fungal endocarditis caused by Candida parapsilosis, and suffered from growing vegetation and progressive septic pulmonary embolism despite fungal treatment...
November 19, 2022: General Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/36329957/the-mitral-annulus-in-transposition-of-the-great-arteries-late-after-senning-and-mustard-procedures-insights-from-the-csongrad-registry-and-magyar-path-study
#18
JOURNAL ARTICLE
Attila Nemes, Árpád Kormányos
Background: Dextro-transposition of the great arteries (dTGA) is a rare condition comprising 5-7% of all congenital heart diseases (CHD). Until 1990s, atrial switch operations were the method of choice for the treatment of dTGA. The aim of our present study was to evaluate the abnormalities of the mitral annulus (MA) by three-dimensional speckle-tracking echocardiography (3DSTE). Potential differences in MA dimensions and functional properties late after Senning- and Mustard-procedures were analyzed as well...
October 2022: Cardiovascular Diagnosis and Therapy
https://read.qxmd.com/read/36329955/left-ventricular-rotational-abnormalities-in-patients-with-transposition-of-the-great-arteries-late-after-atrial-switch-operation-detailed-analysis-from-the-csongrad-registry-and-magyar-path-study
#19
JOURNAL ARTICLE
Attila Nemes, Árpád Kormányos, Zoltán Ruzsa, Nóra Ambrus, Kálmán Havasi
BACKGROUND: Dextro-transposition of the great arteries (dTGA) is one of the most common cyanotic congenital heart defects, when the origins of the main arteries are switched in position. The present retrospective cohort study aimed three-dimensional speckle-tracking echocardiography-derived determination of apical and basal morphologic left ventricular (mLV) rotations and twist in adults with dTGA late after atrial switch. It was also purposed to compare whether differences in mLV rotational parameters were present in Senning- and Mustard-operated subjects...
October 2022: Cardiovascular Diagnosis and Therapy
https://read.qxmd.com/read/36312768/single-stage-arterial-switch-operation-conversion-with-dextro-transposition-of-the-great-arteries-and-pulmonary-arterial-hypertension-due-to-baffle-leak-after-a-senning-procedure
#20
Sorachi Shimada, Tomomi Uyeda, Yoshichika Maeda, Takumi Kobayashi, Kanako Kishiki, Yuji Hamamichi, Satoshi Yazaki, Naoki Wada, Yukihiro Takahashi, In-Sam Park, Tadahiro Yoshikawa
Patients who have undergone an atrial switch operation for dextro-transposition of the great arteries (dTGA) sometimes suffer from right ventricular dysfunction, tricuspid regurgitation, arrhythmias, or baffle leaks. We report the first case of single-stage arterial switch operation conversion in an adult patient with dTGA and pulmonary arterial hypertension (PAH) due to a baffle leak after a Senning procedure. Perioperative mechanical circulatory support was required for 3 weeks. Although chronic kidney disease persisted, her left ventricular function and pulmonary hypertension improved over the first postoperative year...
November 2022: Journal of Cardiology Cases
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