title: Catheter management of occluded superior baffle after atrial switch procedures for transposition of great vessels.
abstract: We present successful catheter intervention in 4 patients with total occlusion of the superior baffle after an atrial switch procedure. A transseptal needle (in addition to the transhepatic route in 1 patient with known occluded femoral veins) was used to open the occluded segments and place stents. Additionally, we report the regression of multiple systemic-to-pulmonary venous fistulas that developed as a result of the occluded baffle.
authors.affiliation: Department of Pediatrics (Cardiology), The University of Mississippi Medical Center, Jackson, Mississippi 39216, USA. mebeid@ped.umsmed.edu
authors.forename: Makram R
authors.initials: MR
authors.lastname: Ebeid
authors.forename: Charles H
authors.initials: CH
authors.lastname: Gaymes
authors.forename: Michael R
authors.initials: MR
authors.lastname: McMullan
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Shores
authors.forename: J Clinton
authors.initials: JC
authors.lastname: Smith
authors.forename: James A
authors.initials: JA
authors.lastname: Joransen
mesh_terms: D000293:Adolescent; D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon; D006328:Cardiac Catheterization / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000098:blood supply; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000628:therapy*; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000628:therapy; D014188:Transposition of Great Vessels / Q000601:surgery*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*