Double switch operation (Senning and Rastelli operation) with left atrial augumentation by in situ autologous pericardium: a case report
Ogawa, M.; Yamagishi, M.; Shuntoh, K.; Okano, T.; Yamada, Y.; Fujiwara, K.; Kitamura, N.
Kyobu Geka. Japanese Journal of Thoracic Surgery 54(13): 1099-1102
2001
ISSN/ISBN: 0021-5252 PMID: 11761892 Document Number: 535999
A 23-month-old female infant with situs solitus, atrioventricular and ventriculoarterial discordance, pulmonary atresia, ventricular septal defect, who had received modfied right Blalock-Taussig shunt (4 mm Gore-Tex tube) at the age of 2 months, was carried out double switch operation with left atrial augumentation by in situ autologous pericardium. The spatial position of the heart was mesocardia. The systemic right ventricular end-diastolic volume was 100% of normal, and the pulmonic left ventricular end-diastolic volume was 105% of normal. Atrioventricular valvular regurgitation was not found. Postoperative course was uneventful. On the 28th postoperative day,she discharged from hospital. The disadvantage of double switch operation is difficulty of atrial switch procedure, because most patients have a small atrium due to dextrocardia or mesocardia. For the purpose of atrial augumentation without artificial materials, our modified Senning procedure is useful. But longer follow-up is necessary to determine whether this technique is indeed beneficial.