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

Autor:	Krishna P Gourav, Sunder Negi, Srinath Damodaran, Vamsidhar Amburu
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	pulmonary venous baffle stenosis senning transposition of great arteries Anesthesiology RD78.3-87.3 Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Annals of Cardiac Anaesthesia, Vol 23, Iss 2, Pp 232-234 (2020)
Druh dokumentu:	article
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:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/3f09d8e63a56435998fcd02769361b1b Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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