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Modification of the Senning procedure in the double‐switch operation: The triangular double‐door technique
Author(s) -
Sung Si Chan,
Kim Hyungtae,
Choi Kwang Ho
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14763
Subject(s) - medicine , great arteries , surgery , right atrium , atrium (architecture) , cardiology , heart disease , atrial fibrillation
We developed a modified Senning procedure in the double‐switch operation for the patients with congenitally corrected transposition of the great arteries (ccTGA). In our technique, the right atrial (RA) free wall is not used as a baffle for draining systemic venous blood to the left atrium. Instead, a patch material is used for the baffling. A wide communication between the pulmonary venous chamber and RA is created by making the triangular double door with the RA‐free wall, and the window is closed with in situ pericardial flap. We have successfully adopted this technique in our recent two consecutive ccTGA patients.