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The Senning procedure is a surgical technique primarily used to correct congenital heart defects, specifically in patients with atrial septal defects (ASD) or when there is a need to redirect blood flow from the heart in conditions like transposition of the great arteries. This procedure aims to establish a functional connection between the pulmonary and systemic circulations by creating a new pathway for blood to flow, effectively rerouting oxygen-rich blood to the systemic circulation and oxygen-poor blood to the lungs. During the Senning procedure, the surgeon creates a baffle using a piece of the patient's own heart tissue or synthetic material to guide the blood flow appropriately. The operation is typically performed through an open-heart surgery approach, involving the use of cardiopulmonary bypass to temporarily take over the role of pumping blood and oxygen during the procedure. The process starts with an incision made in the chest, allowing access to the heart. The surgeon then carefully opens the heart chambers, particularly the atria, to evaluate the anatomical situation. The baffle is constructed to ensure that deoxygenated blood is directed towards the right ventricle and subsequently to the lungs, while oxygenated blood is shunted towards the left ventricle and out to the body. The Senning procedure is particularly beneficial for patients with congenital defects that require reconfiguration of the heart's natural pathways to support appropriate oxygenation of the blood. While this technique has been an essential option in pediatric cardiac surgery since its introduction, it may not be suitable for all patients depending on individual anatomical variations and associated conditions. Following the surgery, patients are monitored closely for any complications, which can include arrhythmias, heart block, or issues at the site of the baffle. Long-term follow-up care is essential to ensure the functionality of the baffle and to monitor the heart's overall performance as the patient grows older. In some instances, patients may require additional interventions or surgeries as they age, especially if they experience complications or if their heart's anatomy changes. The Senning procedure has significantly improved outcomes for many patients with complex congenital heart defects, allowing them to lead more normalized lives with better chances of survival and functionality. Understanding this procedure is crucial for healthcare professionals involved in the management of pediatric and adult patients with congenital heart diseases, as it underscores the importance of surgical solutions in the continuous effort to improve cardiac function and quality of life in affected individuals. Ultimately, the Senning procedure exemplifies the innovative approaches in cardiac surgery aimed at addressing the unique challenges posed by congenital heart defects.