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