title: Cavo-pulmonary shunt for left ventricular outflow tract obstruction after senning.
abstract: 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.
authors.affiliation: Department of Surgery, Cardiovascular Surgery Unit, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Stephane
authors.initials: S
authors.lastname: Reverdin
authors.forename: Yacine
authors.initials: Y
authors.lastname: Aggoun
authors.forename: Maurice
authors.initials: M
authors.lastname: Beghetti
authors.forename: Afksendiyos
authors.initials: A
authors.lastname: Kalangos
mesh_terms: D002675:Child, Preschool; D005260:Female; D018610:Heart Bypass, Right / Q000379:methods; D006801:Humans; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis / Q000601:surgery*