Lead Extraction and Baffle Stenting in a Patient with Transposition of the Great Arteries

Rady Ho; Nilay Patel; Rahul Sakhuja; Ignacio Inglessis-Azuaje; Theofanie Mela

doi:10.1016/j.ccep.2023.10.003

Lead Extraction and Baffle Stenting in a Patient with Transposition of the Great Arteries

Card Electrophysiol Clin. 2024 Jun;16(2):139-142. doi: 10.1016/j.ccep.2023.10.003. Epub 2023 Nov 3.

Authors

Rady Ho¹, Nilay Patel², Rahul Sakhuja², Ignacio Inglessis-Azuaje², Theofanie Mela²

Affiliations

¹ Lehigh Valley Heart and Vascular Institute, 1250 South Cedar Crest Boulevard, Allentown, PA 18103, USA. Electronic address: rady.ho@lvhn.org.
² Corrigan Minehan Heart Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

PMID: 38749632
DOI: 10.1016/j.ccep.2023.10.003

Abstract

This case report discusses a 42-year-old male with dextro-transposition of the great arteries (D-TGA) status post Mustard repair and sick sinus syndrome status post dual-chamber pacemaker implant, who developed symptomatic superior vena cava (SVC) baffle stenosis. He was treated with a combined pacemaker extraction and subsequent SVC baffle stenting. The case highlights the complexities of treating SVC baffle stenosis in the presence of cardiac implantable devices and demonstrates the efficacy of this combined approach. Furthermore, the authors delve into the intricacies of D-TGA, its surgical history, and the long-term complications associated with atrial switch procedures.

Keywords: Baffle stent; Dextro-transposition of the great arteries; Laser lead extraction; Mechanical rotator sheath; Mustard procedure; SVC stent.

Publication types

Case Reports
Review

MeSH terms

Adult
Device Removal*
Humans
Male
Pacemaker, Artificial* / adverse effects
Sick Sinus Syndrome / surgery
Sick Sinus Syndrome / therapy
Stents*
Superior Vena Cava Syndrome / etiology
Superior Vena Cava Syndrome / surgery
Transposition of Great Vessels* / surgery