Hybrid Stenting of Pulmonary Venous Baffle Stenosis: Subxiphoid Approach in Transposition of the Great Arteries

Daniel Kyrillos Ragheb; Steven Healan; Benjamin Frischhertz; George Nicholson; Dana Janssen; David Bichell; Thomas Doyle; Angela Weingarten

doi:10.1016/j.jaccas.2024.102294

Hybrid Stenting of Pulmonary Venous Baffle Stenosis: Subxiphoid Approach in Transposition of the Great Arteries

JACC Case Rep. 2024 Mar 28;29(9):102294. doi: 10.1016/j.jaccas.2024.102294. eCollection 2024 May 1.

Authors

Daniel Kyrillos Ragheb^{1

2}, Steven Healan^{2

3}, Benjamin Frischhertz^{2

3}, George Nicholson^{2

3}, Dana Janssen^{2

3}, David Bichell^{2

3}, Thomas Doyle², Angela Weingarten^{2

3}

Affiliations

¹ Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
² Vanderbilt University Medical Center, Nashville, Tennessee, USA.
³ Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.

Abstract

A 31-year-old woman with transposition of the great arteries status post-Senning operation presents with severe pulmonary venous baffle obstruction. Both standards of care (percutaneous stenting or open repair) were deemed suboptimal and/or high risk. A multidisciplinary, hybrid approach via subxiphoid incision, guided by 3-dimensional modeling, provided a lower risk and minimally invasive intervention.

Keywords: 3D modeling; pediatric surgery; pulmonary hypertension; transposition of the great arteries.

Publication types

Case Reports