Effect of Transcatheter Closure of Baffle Leaks Following Senning or Mustard Atrial Redirection Surgery on Oxygen Saturations and Polycythaemia

Bentham, James R.; English, Kate; Hares, Dominic; Gibbs, John L.; Thomson, John

doi:10.1016/j.amjcard.2012.05.041

Cited by 19 publications

(8 citation statements)

References 13 publications

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“…13,21,[24][25][26][27][28][29][30][31] Surgical treatment of baffle stenosis has been reported to be associated with high rates of perioperative morbidity and mortality. 32 Balloon angioplasty alone has a limited long-term impact on baffle patency, with rates of baffle restenosis ranging from 30% to 100%.…”

Section: Clinical Results and Complicationsmentioning

confidence: 99%

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Complex Interventions in the Adult with Congenital Heart Disease

Singh

Nagy

Wan

et al. 2013

Interventional Cardiology Clinics

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Section: Clinical Results and Complicationsmentioning

confidence: 99%

“…12,13 They are typically located along baffle suture lines with a higher prevalence in the superior limb over the inferior limb. 14 Although most leaks are small and not hemodynamically significant, approximately 2% of such left-to-right shunts may be large enough to warrant intervention.…”

Section: Venous Baffles In Transposition Of the Great Arteries Introdmentioning

confidence: 99%

Complex Interventions in the Adult with Congenital Heart Disease

Singh

Nagy

Wan

et al. 2013

Interventional Cardiology Clinics

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“…[8,11] Baffle leakage has been also reported as an ensuing complication with a rate of about 8%. [12] Left ventricular outlet tract obstruction (LVOTO) is another reason for reoperation; LVOTO accounted for five of a total of 12 reoperations in the study of Roubertie et al [13] Although PBVS is not a common late complication, it is of utmost importance, as it is associated with low cardiac output and sudden death in the presence of ventricular tachycardia. [14] Although PBVS may occur in short-term, the surgical technique used plays a critical role.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of late-term pulmonary venous baffle stenosis after Senning operation

Akkaya

Bilen

Tuncer

et al. 2018

Turk Gogus Kalp Dama

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Senning ameliyatı sonrası pulmoner venöz odacık darlığı sık görülen bir komplikasyon olmamasına rağmen, patolojinin düzeltilmesinde girişimsel yöntemlerin başarısız olması durumunda cerrahi tedavi hayati önem taşır. Olgumuz, Senning ameliyatından 6.5 yıl sonra tekrarlayan burun kanaması ve efor dispnesi ile hastanemize başvurdu. Transtorasik ekokardiyografide pulmoner venöz odacıkta gradyan 34-35 mmHg olarak ölçüldü. Cerrahi tedavi sırasında kalsifik ve geri çekilmiş politetrafloroetilen flep tamamen eksize edildi ve domuz perikard ksenogreft ile pulmoner venöz odacık kapatıldı. İşlemin sonunda transözofageal ekokardiyografide anlamlı bir gradyan izlenmedi. Anah tar söz cük ler: Domuz ksenogreft; pulmoner venöz odacık darlığı; Senning ameliyatı.

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“…Pre-emptive covered stent implantation or even open repair should be considered given the risk of thromboembolism across these veno-systemic shunts. A transcatheter approach is utilized for leak closure but can also be applied for dilatation of a narrowed baffle that would otherwise be occluded by transvenous lead implantation [11, 24]. …”

Section: Managementmentioning

confidence: 99%

Congenital and childhood atrioventricular blocks: pathophysiology and contemporary management

Baruteau¹,

Pass²,

Thambo³

et al. 2016

Eur J Pediatr

107

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Atrioventricular block is classified as congenital if diagnosed in utero, at birth, or within the first month of life. The pathophysiological process is believed to be due to immune-mediated injury of the conduction system, which occurs as a result of transplacental passage of maternal anti-SSA/Ro-SSB/La antibodies. Childhood atrioventricular block is therefore diagnosed between the first month and the 18th year of life. Genetic variants in multiple genes have been described to date in the pathogenesis of inherited progressive cardiac conduction disorders. Indications and techniques of cardiac pacing have also evolved to allow safe permanent cardiac pacing in almost all patients, including those with structural heart abnormalities.Conclusion: Early diagnosis and appropriate management are critical in many cases in order to prevent sudden death, and this review critically assesses our current understanding of the pathogenetic mechanisms, clinical course, and optimal management of congenital and childhood AV block. What is Known: • Prevalence of congenital heart block of 1 per 15,000 to 20,000 live births. AV block is defined as congenital if diagnosed in utero, at birth, or within the first month of life, whereas childhood AV block is diagnosed between the first month and the 18th year of life. As a result of several different etiologies, congenital and childhood atrioventricular block may occur in an entirely structurally normal heart or in association with concomitant congenital heart disease. Cardiac pacing is indicated in symptomatic patients and has several prophylactic indications in asymptomatic patients to prevent sudden death. • Autoimmune, congenital AV block is associated with a high neonatal mortality rate and development of dilated cardiomyopathy in 5 to 30 % cases. What is New: • Several genes including SCN5A have been implicated in autosomal dominant forms of familial progressive cardiac conduction disorders. • Leadless pacemaker technology and gene therapy for biological pacing are promising research fields. In utero percutaneous pacing appears to be at high risk and needs further development before it can be adopted into routine clinical practice. Cardiac resynchronization therapy is of proven value in case of pacing-induced cardiomyopathy.

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Effect of Transcatheter Closure of Baffle Leaks Following Senning or Mustard Atrial Redirection Surgery on Oxygen Saturations and Polycythaemia

Cited by 19 publications

References 13 publications

Complex Interventions in the Adult with Congenital Heart Disease

Complex Interventions in the Adult with Congenital Heart Disease

Surgical management of late-term pulmonary venous baffle stenosis after Senning operation

Congenital and childhood atrioventricular blocks: pathophysiology and contemporary management

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