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Afksendiyos Kalangos
Ebrahim Khabiri
Dominique Vala
Bernard Faidutti
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Ann Thorac Surg 1998;66:1800-1802
© 1998 The Society of Thoracic Surgeons

Case Reports

Successful palliation of acute superior vena caval obstruction after the Senning operation

Afksendiyos Kalangos, MD, PhDa, Maurice Beghetti, MDb, Peter C. Rimensberger, MDc, Ebrahim Khabiri, MDa, Dominique Vala, MDa, Bernard Faidutti, MDa

a Clinic for Cardiovascular Surgery, University Cantonal Hospital of Geneva, Geneva, Switzerland
b Clinic for Pediatric Cardiology, University Cantonal Hospital of Geneva, Geneva, Switzerland
c Intensive Care Unit, University Cantonal Hospital of Geneva, Geneva, Switzerland

Accepted for publication May 12, 1998.

Address reprint requests to Dr Kalangos, Clinic for Cardiovascular Surgery, University Cantonal Hospital of Geneva, 24, rue Micheli-du-Crest, 1211 Geneva 14, Switzerland

Superior vena caval obstruction after an intraatrial baffle procedure can lead to acute cerebral complications and hence requires immediate management. We present a case of successful palliation of acute superior vena caval obstruction after a Senning procedure by establishing a venous shunt between the innominate vein and pulmonary artery. This technique resulted in immediate hemodynamic and functional improvement that subsequently allowed for the enlargement of the superior vena cava–right atrial junction with a pericardial patch.




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 Ann. Thorac. Surg.Home page
S. Shimokawa, Y. Iguro, and Y. Moriyama
A venous shunt between the innominate vein and pulmonary trunk
Ann. Thorac. Surg., April 1, 2000; 69(4): 1299 - 1300.
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