Pulmonary venous baffle obstruction following senning procedure - Role of transesophageal echocardiography.
Arterial Switch Operation
/ methods
Ductus Arteriosus, Patent
/ diagnostic imaging
Echocardiography, Transesophageal
/ methods
Heart Septal Defects, Atrial
/ complications
Humans
Infant
Male
Postoperative Complications
/ diagnostic imaging
Pulmonary Circulation
Pulmonary Veins
/ diagnostic imaging
Transposition of Great Vessels
/ complications
Vascular Diseases
/ diagnostic imaging
Pulmonary venous baffle stenosis
senning
transposition of great arteries
Journal
Annals of cardiac anaesthesia
ISSN: 0974-5181
Titre abrégé: Ann Card Anaesth
Pays: India
ID NLM: 9815987
Informations de publication
Date de publication:
Historique:
entrez:
11
4
2020
pubmed:
11
4
2020
medline:
17
3
2021
Statut:
ppublish
Résumé
We present a case of D-transposition of great arteries with atrial septal defect and patent ductus arteriosus electively posted for Senning's operation at 10 months of age. The patient developed signs of lung congestion immediately after termination of cardiopulmonary bypass. A stenosis in the pulmonary venous baffle was detected in transesophageal echocardiography showing a peak gradient of 10 mmHg and a mean gradient of 5 mmHg. Hence, revision of baffle was planned. The stenotic area was excised and augmented with homologous pericardium. Post-correction, lung compliance improved and the peak and mean gradient decreased to 3 and 1 mm Hg, respectively. The patient was extubated in the intensive care unit after 36 h and shifted to ward after 5 days with stable hemodynamics.
Identifiants
pubmed: 32275045
pii: AnnCardAnaesth_2020_23_2_232_282067
doi: 10.4103/aca.ACA_195_18
pmc: PMC7336969
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
232-234Déclaration de conflit d'intérêts
None
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