Bjørnstad P G, Tjønneland S, Semb B K
Thorax. 1984 Feb;39(2):114-20. doi: 10.1136/thx.39.2.114.
Two groups of six children who had undergone either Senning or Mustard repair for uncomplicated transposition of the great arteries were studied with M mode echocardiography derived from a phased array sector scanner picture. The newly created atria were visualised from the subxiphoid region and the upper systemic venous inflow was selected for a simultaneous M mode registration with a subsequent wall motion analysis with a commercially available computer. In the Mustard group of patients the atrial walls seemed to move passively with the overall heart movements, while abrupt atrial wall excursions of both atria synchronous with heart action were noted in all patients after Senning repair. In this group also slow cyclic changes followed respiration. The atrial wall movements were significantly superior (p = 0.001) in the Senning group of patients. It is concluded that, in contrast to the Mustard method, the Senning operation seems to lead to a viable atrium with the capability of increasing and diminishing atrial diameter and with subsequent potential for growth.
两组各六名因单纯性大动脉转位接受森宁手术（Senning）或马斯塔德手术（Mustard）修复的儿童，通过相控阵扇形扫描仪图像进行M型超声心动图检查。从剑突下区域观察新形成的心房，并选择上腔静脉流入道进行同步M型记录，随后使用商用计算机进行壁运动分析。在接受马斯塔德手术的患者组中，心房壁似乎随着心脏整体运动而被动移动，而在接受森宁修复手术的所有患者中，均观察到两个心房的壁运动与心脏活动同步出现突然偏移。在该组中，还观察到随呼吸出现的缓慢周期性变化。森宁手术患者组的心房壁运动明显更优（p = 0.001）。得出的结论是，与马斯塔德手术方法不同，森宁手术似乎能形成一个有活力的心房，具备增加和减小心房直径的能力，以及后续的生长潜力。
