Yüksel ATAY, Çağatay BİLEN, Gökmen AKKAYA, Osman Nuri TUNCER, Mehmet Fatih AYIK

Senning ameliyatı sonrası geç dönem pulmoner venöz odacık darlığının cerrahi tedavisi

Senning ameliyatı sonrası pulmoner venöz odacık darlığı sık görülen bir komplikasyon olmamasına rağmen, patolojinin düzeltilmesinde girişimsel yöntemlerin başarısız olması durumunda cerrahi tedavi hayati önem taşır. Olgumuz, Senning ameliyatından 6.5 yıl sonra tekrarlayan burun kanaması ve efor dispnesi ile hastanemize başvurdu. Transtorasik ekokardiyografide pulmoner venöz odacıkta gradyan 34-35 mmHg olarak ölçüldü. Cerrahi tedavi sırasında kalsifik ve geri çekilmiş politetrafloroetilen flep tamamen eksize edildi ve domuz perikard ksenogreft ile pulmoner venöz odacık kapatıldı. İşlemin sonunda transözofageal ekokardiyografide anlamlı bir gradyan izlenmedi.

Surgical management of late-term pulmonary venous baffle stenosis after Senning operation

Although pulmonary venous baffle stenosis is not a common latecomplication after the Senning operation, surgical treatment isvital, when interventional methods fail to correct the pathology.Our patient was admitted to hospital with recurrent epistaxis andexertional dyspnea 6.5 years after the Senning procedure. Thegradient in the pulmonary venous baffle was measured as 34 to35 mmHg via transthoracic echocardiography. During surgicaltreatment, the calcified and retracted polytetrafluoroethyleneflap was completely excised and porcine pericardial xenograftwas used to cover the pulmonary venous baffle. At the endof the procedure, no significant gradient was detected viatransesophageal echocardiography.

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