TITLE:
Palliative Senning Procedure: Management of dTGA with VSD and PVOD in an Adolescent
AUTHORS:
Amitabh Satsangi, Biswajit Singh
KEYWORDS:
Atrial Switch, Palliation, Pediatric Cardiac Surgery
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.10 No.8,
August
17,
2020
ABSTRACT: Patients with D-TGA with atrial level mixing of
systemic and pulmonary blood, the morphological left ventricle supports the low
pressure pulmonary circulation and regresses in mass and volume as time passes.
The LV once regressed is unable to support the high pressure systemic
circulation after ASO. These patients are candidates for early ASO, preferably
within 3 weeks of life. As age progresses, the scope of these surgical
procedures skews and an atrial switch remains the only option to improve
quality of life. In Atrial switch, the pulmonary and systemic circulation is returned
into an “in series” circulation and cyanosis is obliterated.