Niewydolność krążenia po operacji metodą Senninga. Możliwości terapeutyczne Congenital heart failure after the Senning operation. Case report

From the early 1960s to the mid 1980s, the Mustard and Senning procedures were the treatment of choice for transposi- tion of the great arteries (d-TGA). We report a case of a young girl who had undergone surgical repair of complete transposition by the Senning procedure in the early infancy. Twelve years later she developed a congestive heart failure. Based on the x-ray, echo and angiography stu- dy she was qualified for reoperation at German Heart Institute Berlin with a very good result. Long term follow-up of patients who underwent Mustard or Senning repair for d-TGA leads to identification of multiple re- sidua and sequelae, as well as functional problems associated with these two procedures. Our patient illustrates the effective therapy which can improve the quality of life and postpone the time for the heart transplantation.