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Hybrid Approach to Repair of Pulmonary Venous Baffle Obstruction After Atrial Switch Operation

^a Division of Cardiovascular Surgery Department, Mayo Clinic, Rochester, Minnesota
^b Division of Pediatric Cardiology and Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota

Accepted for publication February 6, 2009.

^_* Address correspondence to Dr Burkhart, Mayo Clinic, 200 First St SW, Joseph 5th Floor, Cardiovascular Surgery, Rochester, MN 55905 (Email: burkhart.harold{at}mayo.edu).

Pulmonary venous pathway obstruction is a late complication of the atrial switch operation for transposition of the great arteries. Gaining peripheral access to the pulmonary venous baffle obstruction to treat the obstruction with stent deployment is difficult if not impossible. We present three patients in which we used hybrid procedures in the operating room to relieve the pulmonary venous pathway obstructions.