该病例报告讨论了一名42岁男性，患有芥末酱修复后大动脉右旋转位（D-TGA）状态和双腔起搏器植入后病态窦房结综合征状态，出现有症状的上腔静脉（SVC）挡板狭窄。他接受了起搏器拔除和随后的SVC挡板支架置入术的联合治疗。该病例强调了在存在心脏可植入装置的情况下治疗SVC挡板狭窄的复杂性，并证明了这种组合方法的有效性。此外，作者深入研究了D-TGA的复杂性，它的手术史，以及与心房转换手术相关的长期并发症。
This case report discusses a 42-year-old male with dextro-transposition of the great arteries (D-TGA) status post Mustard repair and sick sinus syndrome status post dual-chamber pacemaker implant, who developed symptomatic superior vena cava (SVC) baffle stenosis. He was treated with a combined pacemaker extraction and subsequent SVC baffle stenting. The case highlights the complexities of treating SVC baffle stenosis in the presence of cardiac implantable devices and demonstrates the efficacy of this combined approach. Furthermore, the authors delve into the intricacies of D-TGA, its surgical history, and the long-term complications associated with atrial switch procedures.
