Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes
Abstract Background Dextro-transposition of the great arteries post-atrial switch patients may experience complications like baffle stenosis. While percutaneous interventions are the standard treatment, severe calcification can require uncommon alternatives such as surgical redo procedures. Case pre...
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| Format: | Article |
| Language: | English |
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BMC
2025-08-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03559-8 |
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| _version_ | 1849235614644305920 |
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| author | Isabella Casallas-Gutierrez Tomas Chalela Nestor Sandoval Laura Acosta-Izquierdo Julian Forero Stephany Luna-Pisciotti Carlos-Eduardo Guerrero-Chalela |
| author_facet | Isabella Casallas-Gutierrez Tomas Chalela Nestor Sandoval Laura Acosta-Izquierdo Julian Forero Stephany Luna-Pisciotti Carlos-Eduardo Guerrero-Chalela |
| author_sort | Isabella Casallas-Gutierrez |
| collection | DOAJ |
| description | Abstract Background Dextro-transposition of the great arteries post-atrial switch patients may experience complications like baffle stenosis. While percutaneous interventions are the standard treatment, severe calcification can require uncommon alternatives such as surgical redo procedures. Case presentation We present a 27-year-old female with a history of dextro-transposition of the great arteries corrected with an atrial switch at 11 months old who presented with shortness of breath. Imaging revealed severe superior baffle obstruction. Due to extensive baffle calcification, surgical reoperation with total baffle replacement was performed. The patient recovered well, with sustained symptomatic relief and normal biventricular function at follow-up. Conclusions This case underscores the importance of multimodal imaging for diagnosing complex baffle complications and the critical role of multidisciplinary teams in planning tailored interventions. Surgical redo remains viable in cases where percutaneous approaches are contraindicated, ensuring favorable outcomes in challenging scenarios. |
| format | Article |
| id | doaj-art-6018445f32804f74a40a85350c46f91e |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-6018445f32804f74a40a85350c46f91e2025-08-20T04:02:44ZengBMCJournal of Cardiothoracic Surgery1749-80902025-08-012011710.1186/s13019-025-03559-8Shortness of breath on a mustard patient: multidisciplinary approach improves outcomesIsabella Casallas-Gutierrez0Tomas Chalela1Nestor Sandoval2Laura Acosta-Izquierdo3Julian Forero4Stephany Luna-Pisciotti5Carlos-Eduardo Guerrero-Chalela6Universidad del RosarioFundación CardioInfantil La Cardio, Instituto de Cardiopatías congénitasFundación CardioInfantil La Cardio, Instituto de Cardiopatías congénitasDepartamento de Radiología, Fundación CardioInfantilDepartamento de Radiología, Fundación CardioInfantilDepartamento de Cardiología, Fundación CardioinfantilFundación CardioInfantil La Cardio, Instituto de Cardiopatías congénitasAbstract Background Dextro-transposition of the great arteries post-atrial switch patients may experience complications like baffle stenosis. While percutaneous interventions are the standard treatment, severe calcification can require uncommon alternatives such as surgical redo procedures. Case presentation We present a 27-year-old female with a history of dextro-transposition of the great arteries corrected with an atrial switch at 11 months old who presented with shortness of breath. Imaging revealed severe superior baffle obstruction. Due to extensive baffle calcification, surgical reoperation with total baffle replacement was performed. The patient recovered well, with sustained symptomatic relief and normal biventricular function at follow-up. Conclusions This case underscores the importance of multimodal imaging for diagnosing complex baffle complications and the critical role of multidisciplinary teams in planning tailored interventions. Surgical redo remains viable in cases where percutaneous approaches are contraindicated, ensuring favorable outcomes in challenging scenarios.https://doi.org/10.1186/s13019-025-03559-8Congenital heart diseaseDextro transposition of the great arteriesAtrial switch Re-DoAtrial switch complicationsMultimodalityCase report |
| spellingShingle | Isabella Casallas-Gutierrez Tomas Chalela Nestor Sandoval Laura Acosta-Izquierdo Julian Forero Stephany Luna-Pisciotti Carlos-Eduardo Guerrero-Chalela Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes Journal of Cardiothoracic Surgery Congenital heart disease Dextro transposition of the great arteries Atrial switch Re-Do Atrial switch complications Multimodality Case report |
| title | Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes |
| title_full | Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes |
| title_fullStr | Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes |
| title_full_unstemmed | Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes |
| title_short | Shortness of breath on a mustard patient: multidisciplinary approach improves outcomes |
| title_sort | shortness of breath on a mustard patient multidisciplinary approach improves outcomes |
| topic | Congenital heart disease Dextro transposition of the great arteries Atrial switch Re-Do Atrial switch complications Multimodality Case report |
| url | https://doi.org/10.1186/s13019-025-03559-8 |
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