Tratamento cirúrgico da estenose do túnel das veias pulmonares após Senning modificado / Surgical treatment of pulmonary venous baffle obstruction after modified Senning procedure
Rev. bras. cir. cardiovasc
;
25(4): 588-590, out.-dez. 2010. ilus
Article
in Portuguese
| LILACS
| ID: lil-574757
RESUMO
Paciente de 13 anos de idade, sexo masculino, submetido à correção de estenose de túnel das veias pulmonares (ETVP) após cirurgia de Senning modificada realizada aos 5 meses. O quadro clínico era de congestão pulmonar e broncopneumonias de repetição e o ecocardiograma confirmou ETVP. Uma angioplastia com balão foi realizada previamente à correção cirúrgica com circulação extracorpórea. A placa de pericárdio bovino empregada para ampliação do átrio direito retraiu-se e calcificou, levando a ETVP. A placa foi removida e o átrio direito foi ampliado com um retalho de politetrafluoretileno. O ecocardiograma transesofágico intraoperatório demonstrou redução significativa da estenose.
ABSTRACT
A 13-year-old male was admitted to undergoing correction of a pulmonary venous baffle stenosis (PVBS) after a modified Senning procedure was performed by the age of five months. Recurrent Pulmonary congestion and pneumonia episodes were followed by echocardiography and cardiac catheterization that confirmed PVBS. Previous catheter balloon angioplasty was attempted, and a surgical revision was done under cardiopulmonary bypass. The bovine pericardial patch used for augmentation of the right atrium, retracted and calcified producing PVBS. Stenotic area was excised and enlargement was done with polytetrafluoroethylene membrane. Intraoperative transesophageal echocardiogram showed relief of stenosis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Prostheses and Implants
/
Vascular Surgical Procedures
/
Pulmonary Veno-Occlusive Disease
/
Heart Atria
/
Cardiac Surgical Procedures
Type of study:
Etiology study
Limits:
Animals
/
Humans
/
Male
Language:
Portuguese
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2010
Type:
Article
Affiliation country:
Brazil
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