Catheter management of occluded superior baffle after atrial switch procedures for transposition of great vessels

Endovascular Treatment for Superior Vena Cava Occlusion or Obstruction in a Pediatric and Young Adult Population

“…The reported incidence of systemic venous baffle obstruction after atrial switch operation ranges from 0% to 20% (24 -26), and endovascular therapy has been reported either in isolated case reports or in small case series (2,3,5,10,11,14,16). In our cohort, patients with Mustard/Senning procedures experienced relief of SVC obstruction after transcatheter therapy, but were at higher risk for procedural complications than other patient groups.…”

Complex Interventions in the Adult with Congenital Heart Disease

“…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%.…”

Percutaneous recanalization of systemic venous baffle occlusion after atrial switch (Mustard) procedure

“…International Journal of Cardiology j o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / i j c a rd percutaneously using transseptal needle perforation [10] or radiofrequency perforation [6] followed by stenting and balloon angioplasty. In our patient, it was not possible to perforate the obstruction with the Nykanen radiofrequency perforation catheter, which originally is designed for newborns with membranous pulmonary valve atresia.…”