Transesophageal echocardiography for surgically corrected pulmonary venous baffle obstruction after Senning repair

Dhawan, Ira; Makhija, Neeti; Ladha, Suruchi; Das, Deepanwita

doi:10.4103/ejca.ejca_13_17

Transesophageal echocardiography for surgically corrected pulmonary venous baffle obstruction after Senning repair

Authors

Abstract

We present a case of D-transposition of great arteries with a ventricular septal defect for which the child required balloon atrial septostomy at 1 month of age and was later taken up for Senning’s procedure at 2 years of age. The patient remained asymptomatic up to 7 years after surgery. At 9 years of age, this child presented to us with a history of recurrent episodes of cough with expectoration and hemoptysis for 1 year. Transthoracic echocardiography confirmed pulmonary venous baffle stenosis with a peak gradient of 17 mmHg and a mean of 5 mmHg. Intraoperative transesophageal echocardiography indicated a peak gradient of 25 mmHg. The stenotic area was excised and augmentation was performed using homologous pericardium. Intraoperative transesophageal echocardiography confirmed adequate correction.

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