Pulmonary venous atrial obstruction after the Senning procedure: relief by catheter balloon dilatation.
Pulmonary venous atrial stenosis developed after a modified Senning procedure in an infant with transposition of the great arteries. The pulmonary venous atrium was surgically revised, but the obstruction recurred. The stenosis was then enlarged by percutaneous balloon catheter dilatation. There was an immediate haemodynamic and echocardiographic improvement. Clinical and echocardiographic improvement persisted nine months after dilatation. The procedure was complicated by staphylococcal endarteritis.
Coulson
J D
JD
Department of Pediatrics, Eastern Virginia Medical School, Children's Hospital of The King's Daughters, Norfolk 23507.
Jennings
R B
RB
Johnson
D H
DH
D002404:Catheterization; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000628:therapy*; D011668:Pulmonary Veno-Occlusive Disease / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D014188:Transposition of Great Vessels / Q000601:surgery*