Arquivos brasileiros de cardiologia
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Arq. Bras. Cardiol. · Oct 2015
Palliative Senning in the Treatment of Congenital Heart Disease with Severe Pulmonary Hypertension.
Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level. ⋯ The palliative Senning procedure improved arterial oxygen saturation, reduced polycythemia, and provided a better quality of life for patients with TGA with ventricular septal defect, severe pulmonary hypertension, and poor prognosis.