Transcatheter baffle leak closure via an amplatzer septal occluder in a senning-operated child

Area of Science:

• Cardiology
• Pediatric Cardiac Surgery
• Interventional Cardiology

Background:

• The Senning operation is a common surgical repair for transposition of great arteries.
• Post-procedural baffle leaks, specifically atrial or caval, are known complications.
• Pulmonary venous baffle leaks are a less common but significant complication following Senning repair.

Observation:

• A 6-year-old boy with a history of Senning repair for transposition of great arteries presented with a pulmonary venous baffle leak.
• This complication can lead to significant hemodynamic issues if left untreated.

Findings:

• Percutaneous closure of the pulmonary venous baffle leak was successfully performed.
• An Amplatzer septal occluder was utilized for the successful closure.
• This minimally invasive approach offers a viable treatment option.

Implications:

• Percutaneous baffle leak closure is a safe and effective treatment for post-Senning repair complications.
• This technique may prevent the need for re-operation.
• It highlights the utility of interventional cardiology in managing complex congenital heart defects.