Successful palliation of acute superior vena caval obstruction after the Senning operation.

Kalangos, A; Beghetti, M; Rimensberger, P C; Khabiri, E; Vala, D; Faidutti, B · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

Superior vena caval obstruction after an intraatrial baffle procedure can lead to acute cerebral complications and hence requires immediate management. We present a case of successful palliation of acute superior vena caval obstruction after a Senning procedure by establishing a venous shunt between the innominate vein and pulmonary artery. This technique resulted in immediate hemodynamic and functional improvement that subsequently allowed for the enlargement of the superior vena cava-right atrial junction with a pericardial patch.

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