Pulmonary venous baffle obstruction following senning procedure - Role of transesophageal echocardiography

Autor: Srinath Damodaran, Vamsidhar Amburu, Krishna Prasad Gourav, Sunder Negi
Rok vydání: 2020
Předmět:
Male
lcsh:Diseases of the circulatory (Cardiovascular) system
Pulmonary Circulation
medicine.medical_specialty
Transposition of Great Vessels
Hemodynamics
Case Report
030204 cardiovascular system & hematology
Pulmonary compliance
Heart Septal Defects
Atrial
law.invention
lcsh:RD78.3-87.3
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
030202 anesthesiology
law
Internal medicine
Ductus arteriosus
medicine
Cardiopulmonary bypass
Humans
Pericardium
Vascular Diseases
Ductus Arteriosus
Patent
business.industry
Infant
General Medicine
transposition of great arteries
medicine.disease
Arterial Switch Operation
Stenosis
Anesthesiology and Pain Medicine
medicine.anatomical_structure
lcsh:Anesthesiology
lcsh:RC666-701
Pulmonary Veins
Great arteries
Cardiology
Pulmonary venous baffle stenosis
Senning Procedure
Cardiology and Cardiovascular Medicine
business
Echocardiography
Transesophageal
senning
Zdroj: Annals of Cardiac Anaesthesia
Annals of Cardiac Anaesthesia, Vol 23, Iss 2, Pp 232-234 (2020)
ISSN: 0971-9784
DOI: 10.4103/aca.aca_195_18
Popis: 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.
Databáze: OpenAIRE
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