Course 10: Atrial Switch, Double Switch: The Mustard and the Senning

Course Directors: Sitaram M. Emani, Boston, MA, and John E. Mayer Jr, Boston, MA

COMMERCIAL RELATIONSHIPS   S. Emani, None; J. Mayer, Consultant/Advisory Board, Medtronic, Inc.

Learn how to perform this essential part of a double switch. Patients who undergo atrial switch procedures and survive to adulthood may present with complications from their repair. It is essential for today's surgeon to be facile with yesterday's techniques. In this course, you will learn the complexities of Mustards and Sennings from the masters.

Learning Objectives
Upon completion of this activity, participants should be able to:

  • Explain the surgical options for creating atrial level re-routing of systemic and pulmonary venous return
  • Describe the techniques of the Mustard and Senning procedures with particular attention to avoidance of systemic and pulmonary venous obstruction and damage to the sino-atrial and atrioventricular nodal tissue
  • Recognize the indications for applying these two techniques in the management of complex congenital defects, including L-transposition of the great arteries, D-transposition of the great arteries, and certain forms of heterotaxy syndrome anatomy


Please watch the video below containing background information and lecture materials associated with this course.

Please note: No CME credit is associated with the viewing of web-based content. This presentation was created for The Society of Thoracic Surgeons STS University courses, and STS retains sole rights to these materials.

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