caa a22 4500 397496087 CHVBK 20180308164521.0 cr unu---uuuuu 161202e199506 xx s 000 0 eng 10.1016/S1010-7940(05)80190-3 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80190-3 Mid-term results of the modified Senning operation for cavopulmonary connection with autologous tissue [Elektronische Daten] The aim of this study was to determine the results and mid-term outcomeof a modified Senning technique using autologous tissue for totalcavopulmonary connection. The study involved 31 children, 8 with tricuspidatresia and 23 with complex congenital heart disease. In this operation, aflap of autologous atrial free wall tissue was used to tunnel inferior venacaval blood to the pulmonary arteries. An additional Damus-Kay-Stanseloperation was required in 9 patients with subaortic obstruction. Results:the early mortality rate was 16% (5 out of 31 patients) and there were fourlate deaths. Complications: Pleural effusions were encountered in 17patients, of whom 4 had a concomitant pericardial effusion. Diaphragmaticparalysis was diagnosed in five patients, one of whom underwent surgicalplication. Median hospital stay was 26 days. The 1- to 5-year actuarialsurvival was 68.6%. Follow- up ranged from 10 months to 7.1 years, mean 3.2years. A serious atrial arrhythmia was diagnosed in one patient and anotherone died, possibly from rhythm disorders. Exercise tolerance and quality oflife has improved in all but one of the survivors. Although follow-up isshort, we have thus far witnessed a low incidence of hemodynamic and rhythmdisturbances with this modification of the cavopulmonary connection. European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/6(1995-06), 320-324 1010-7940 9:6<320 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80190-3 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80190-3 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/6(1995-06), 320-324 1010-7940 9:6<320 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford