Cavo-pulmonary shunt for left ventricular outflow tract obstruction after senning.
We report a case of Senning procedure in a 32-month-old girl with transposition of the great arteries and dynamic left ventricular outflow tract obstruction (LVOTO). After discontinuation of cardio-pulmonary bypass, the persisting, worsened LVOTO caused hemodynamical instability. A cavo-pulmonary shunt (CPS) was performed, with considerable subsequent improvement. We consider the use of CPS as a valuable option in patients with persisting, significant dynamic LVOTO after atrial switch.
Reverdin
Stephane
S
Department of Surgery, Cardiovascular Surgery Unit, University Hospital of Geneva, Geneva, Switzerland.
Aggoun
Yacine
Y
Beghetti
Maurice
M
Kalangos
Afksendiyos
A
D002675:Child, Preschool; D005260:Female; D018610:Heart Bypass, Right / Q000379:methods; D006801:Humans; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis / Q000601:surgery*