Ingram M T, Von Segesser L, Ott D A, Huhta J C, Murphy D J
Division of Surgery, Texas Heart Institute, Houston 77225.
J Thorac Cardiovasc Surg. 1988 Sep;96(3):485-7.
Forty-three consecutive patients with previous balloon atrial septostomy have undergone a Senning type repair of transposition of the great arteries without patch augmentation of the atrial septum. A technique was used that allows expansion of the atrial septum without the use of additional foreign or autogenous materials. The operative (30-day) mortality rate was 4.6% (2/43) with no late deaths. A mean follow-up of 20 months shows that 83% of the patients are in sinus rhythm and none of these patients have clinically detectable caval or pulmonary venous obstruction or baffle leaks. In patients selected for atrial switch, the Senning operation may be performed without patch augmentation of the septum. Performed by the method described herein, the operation provides predictable early and late results with a low prevalence of arrhythmias. Significant venous obstruction has not occurred.
43例曾接受球囊房间隔造口术的连续患者接受了大动脉转位的Senning型修复，未使用补片增强房间隔。所采用的技术可在不使用额外异体或自体材料的情况下使房间隔扩张。手术（30天）死亡率为4.6%（2/43），无晚期死亡病例。平均随访20个月显示，83%的患者为窦性心律，且这些患者中无一例有临床可检测到的腔静脉或肺静脉梗阻或挡板渗漏。对于选择进行心房调转术的患者，可在不使用补片增强房间隔的情况下进行Senning手术。按本文所述方法进行手术，可提供可预测的早期和晚期结果，心律失常发生率低。未发生明显的静脉梗阻。
