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Cavo-pulmonary shunt for left ventricular outflow tract obstruction after senning
Authors:Reverdin Stephane  Aggoun Yacine  Beghetti Maurice  Kalangos Afksendiyos
Affiliation:Department of Surgery, Cardiovascular Surgery Unit, University Hospital of Geneva, Geneva, Switzerland.
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.
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