title: Successful palliation of acute superior vena caval obstruction after the Senning operation.
abstract: Superior vena caval obstruction after an intraatrial baffle procedure can lead to acute cerebral complications and hence requires immediate management. We present a case of successful palliation of acute superior vena caval obstruction after a Senning procedure by establishing a venous shunt between the innominate vein and pulmonary artery. This technique resulted in immediate hemodynamic and functional improvement that subsequently allowed for the enlargement of the superior vena cava-right atrial junction with a pericardial patch.
authors.affiliation: Clinic for Cardiovascular Surgery, Intensive Care Unit, University Cantonal Hospital of Geneva, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Kalangos
authors.forename: M
authors.initials: M
authors.lastname: Beghetti
authors.forename: P C
authors.initials: PC
authors.lastname: Rimensberger
authors.forename: E
authors.initials: E
authors.lastname: Khabiri
authors.forename: D
authors.initials: D
authors.lastname: Vala
authors.forename: B
authors.initials: B
authors.lastname: Faidutti
mesh_terms: D000208:Acute Disease; D016121:Brachiocephalic Veins / Q000601:surgery; D004630:Emergencies; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D010166:Palliative Care; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000601:surgery; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery*