A case of successful laser extraction of a defibrillator lead with baffle stenting in a 15-year-old boy with dextrocardia, L-transposition, ventricular septal defect, and pulmonic stenosis status-post Senning/Rastelli repair is presented. Six-month follow-up revealed a significant increase in exercise tolerance and maximum oxygen consumption (VO(2)max).
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http://dx.doi.org/10.1111/j.1540-8159.2007.00939.x | DOI Listing |
Eur Heart J Case Rep
December 2024
Division of Congenital and Structural Cardiology, UZ Leuven, Herestraat 49, 3000 Leuven, Belgium.
Background: Atrial switch repair was the first surgical intervention to result in long-term survival in patients with ventriculo-arterial discordance or transposition of the great arteries. However, the natural history after atrial switch is not uneventful with frequent atrial arrhythmia, development of baffle stenosis, and eventually heart failure. For this, new interventions might be necessary but are often associated with increased risk.
View Article and Find Full Text PDFJ Soc Cardiovasc Angiogr Interv
October 2024
Pediatrix Cardiology of San Antonio, San Antonio, Texas.
Systemic venous baffle obstruction is a long-term complication that can arise from the Mustard operation. We outline a novel percutaneous approach to a long segment, complete occlusion of a Mustard baffle using electrosurgical recanalization and stenting.
View Article and Find Full Text PDFJ Soc Cardiovasc Angiogr Interv
October 2024
The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Background: The suspected etiology of superior vena cava (SVC) obstruction is predominantly iatrogenic. Transcatheter interventions relieve stenosis with good long-term results, although there is a paucity of published data in pediatrics. We aim to describe patient characteristics and clinical outcomes after transcatheter SVC intervention at a single-center pediatric quaternary care center.
View Article and Find Full Text PDFCard Electrophysiol Clin
June 2024
Corrigan Minehan Heart Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
This case report discusses a 42-year-old male with dextro-transposition of the great arteries (D-TGA) status post Mustard repair and sick sinus syndrome status post dual-chamber pacemaker implant, who developed symptomatic superior vena cava (SVC) baffle stenosis. He was treated with a combined pacemaker extraction and subsequent SVC baffle stenting. The case highlights the complexities of treating SVC baffle stenosis in the presence of cardiac implantable devices and demonstrates the efficacy of this combined approach.
View Article and Find Full Text PDFEur Heart J Case Rep
May 2024
Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Office J2-142, Cleveland, OH 44195, USA.
Background: Partial anomalous pulmonary venous return (PAPVR) can be surgically corrected using a pericardial baffle. This baffle can become obstructed post-surgery, leading to pulmonary hypertension and right heart dysfunction if not detected and corrected.
Case Summary: We describe three patients with occluded PAPVR baffles who underwent drug-coated balloon angioplasty and stenting of the obstructed baffle.
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