Clinical Procedure
 
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The atrial septum is excised, and the atrial baffle is created by the placement of a single elephant trunk-shaped patch made of pericardial tissue

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Performed in patients in which a senning procedure would be unsuitable due to unsuitable atrial tissue. Eg Previous palliative surgery with scarred atrial tissue or poorly developed right atrium (eg as may be seen in dextrocardia).

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