Systemic right ventricle failure often develops in patients with dextro-transposition of the great arteries who have undergone atrial-level switch procedures. An adult with dextro-transposition of the great arteries with Mustard repair in childhood presented with end-stage heart failure due to systemic right ventricle failure, Mustard baffle leak, and unrepaired partial anomalous pulmonary venous return. She underwent device closure of the baffle leak by catheterization, followed by baffle revision and concomitant systemic ventricular assist device placement by adult and pediatric heart surgeons. This case demonstrates the importance of multidisciplinary collaboration between pediatric and adult heart failure specialists in caring for complex adult congenital heart patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.athoracsur.2020.03.038 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hybrid stenting through direct ventricular access for severe stenosis of the pulmonary venous baffle after atrial switch operation for transposition of the great arteries: a case report.
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 PDFComplete Obstruction of Superior Mustard Baffle: Electrosurgical Transcatheter Recanalization-First-in-Human Case Report.
J 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 PDFDelayed Presentation of Baffle Obstruction in an Adult Post-Mustard Repair of Transposition: Computed Tomography Demonstration.
Indian J Radiol Imaging
October 2024
Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences New Delhi, New Delhi, India.
Atrial switch surgery is performed in patients with transposition of the great arteries. One of the complications of this surgery is obstruction of the baffle created. We describe the computed tomography findings of one such case where there was delayed presentation of recurrent Mustard baffle obstruction in addition to pulmonary venous drainage obstruction in an adult previously operated on for intra-atrial repair of transposition of the great arteries.
View Article and Find Full Text PDFObstruction of a systemic venous pathway is relatively common after the Mustard operation. A helix-fixation leadless pacemaker was successfully implanted in the subpulmonic but morphologic LV in a d-TGA patient with post-Mustard baffle stenosis and failure of a previously implanted epicardial lead.
View Article and Find Full Text PDFA baffling case of inferior vena cava filter removal in a patient with transposition of the great arteries.
J Vasc Surg Cases Innov Tech
August 2024
Department of Surgery, Virginia Commonwealth University Medical Center, Richmond, VA.
A 47-year-old man with a history of transposition of the great arteries after a Mustard atrial switch procedure and prior inferior vena cava filter placement for venous thromboembolism presented for removal before being listed for orthotopic heart transplantation in anticipation of cardiopulmonary bypass cannulation. The filter was retrieved using a right transjugular approach without disruption of his existing atrial baffle. Contingency planning in the event of unsuccessful baffle navigation included a transfemoral everted filter approach.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!