Surgical management of late-term pulmonary venous baffle stenosis after Senning operation [Senning ameliyati sonrasi geç dönem pulmoner venöz odacik darliğinin cerrahi tedavisi]

Although pulmonary venous baffle stenosis is not a common late complication after the Senning operation, surgical treatment is vital, when interventional methods fail to correct the pathology. Our patient was admitted to hospital with recurrent epistaxis and exertional dyspnea 6.5 years after the Senning procedure. The gradient in the pulmonary venous baffle was measured as 34 to 35 mmHg via transthoracic echocardiography. During surgical treatment, the calcified and retracted polytetrafluoroethylene flap was completely excised and porcine pericardial xenograft was used to cover the pulmonary venous baffle. At the end of the procedure, no significant gradient was detected via transesophageal echocardiography. © 2018 All right reserved by the Turkish Society of Cardiovascular Surgery.Senning ameliyati sonrasi pulmoner venöz odacik darliği sik görülen bir komplikasyon olmamasina rağmen, patolojinin düzeltilmesinde girişimsel yöntemlerin başarisiz olmasi durumunda cerrahi tedavi hayati önem taşir. Olgumuz, Senning ameliyatindan 6.5 yil sonra tekrarlayan burun kanamasi ve efor dispnesi ile hastanemize başvurdu. Transtorasik ekokardiyografide pulmoner venöz odacikta gradyan 34-35 mmHg olarak ölçüldü. Cerrahi tedavi sirasinda kalsifik ve geri çekilmiş politetrafloroetilen flep tamamen eksize edildi ve domuz perikard ksenogreft ile pulmoner venöz odacik kapatildi. Işlemin sonunda transözofageal ekokardiyografide anlamli bir gradyan izlenmedi. © 2018 All right reserved by the Turkish Society of Cardiovascular Surgery.