Baffle (medicine): Difference between revisions

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A baffle is a surgically-created tunnel or wall within the heart or major blood vessels used to redirect the flow of blood.^[1] Baffles are used in some types of heart abnormalities that a child is born with known as congenital heart defects. While baffles are usually constructed, at least in part, from a person's own heart tissue, other techniques known as conduits redirect blood flow using artificial material.

Baffles can be made between different structures depending on the heart condition that needs to be treated. The Mustard and Senning 'atrial switch' procedures use a baffle within the atria, redirecting blood from the superior and inferior vena cava to the left ventricle and blood from the pulmonary veins to the right ventricle, to treat transposition of the great arteries.^[2] The lateral tunnel form of the Fontan procedure uses a baffle to redirect blood from the inferior vena cava to the pulmonary arteries. Part of the Rastelli procedure involves creating a baffle that transports blood through a ventricular septal defect to the aorta.^[1]

References

^ ^a ^b Lu, Jimmy C.; Dorfman, Adam L.; Attili, Anil K.; Ghadimi Mahani, Maryam; Dillman, Jonathan R.; Agarwal, Prachi P. (May 2012). "Evaluation with cardiovascular MR imaging of baffles and conduits used in palliation or repair of congenital heart disease". Radiographics: A Review Publication of the Radiological Society of North America, Inc. 32 (3): E107–127. doi:10.1148/rg.323115096. ISSN 1527-1323. PMID 22582368.
^ Park, In Sook; Goo, Hyun Woo (2019), Park, In Sook (ed.), "Complete Transposition of the Great Arteries (Complete TGA)", An Illustrated Guide to Congenital Heart Disease: From Diagnosis to Treatment – From Fetus to Adult, Singapore: Springer, pp. 269–308, doi:10.1007/978-981-13-6978-0_13, ISBN 978-981-13-6978-0, retrieved 2020-11-23

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[:0-1] Lu, Jimmy C.; Dorfman, Adam L.; Attili, Anil K.; Ghadimi Mahani, Maryam; Dillman, Jonathan R.; Agarwal, Prachi P. (May 2012). "Evaluation with cardiovascular MR imaging of baffles and conduits used in palliation or repair of congenital heart disease". Radiographics: A Review Publication of the Radiological Society of North America, Inc. 32 (3): E107–127. doi:10.1148/rg.323115096. ISSN 1527-1323. PMID 22582368.

[2] Park, In Sook; Goo, Hyun Woo (2019), Park, In Sook (ed.), "Complete Transposition of the Great Arteries (Complete TGA)", An Illustrated Guide to Congenital Heart Disease: From Diagnosis to Treatment – From Fetus to Adult, Singapore: Springer, pp. 269–308, doi:10.1007/978-981-13-6978-0_13, ISBN 978-981-13-6978-0, retrieved 2020-11-23

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 A '''baffle''' is a surgically-created tunnel or wall within the [[heart]] or [[Great vessels|major blood vessels]] used to redirect the flow of blood.<ref name=":0">{{Cite journal|last=Lu|first=Jimmy C.|last2=Dorfman|first2=Adam L.|last3=Attili|first3=Anil K.|last4=Ghadimi Mahani|first4=Maryam|last5=Dillman|first5=Jonathan R.|last6=Agarwal|first6=Prachi P.|date=May 2012|title=Evaluation with cardiovascular MR imaging of baffles and conduits used in palliation or repair of congenital heart disease|url=https://pubmed.ncbi.nlm.nih.gov/22582368|journal=Radiographics: A Review Publication of the Radiological Society of North America, Inc|volume=32|issue=3|pages=E107–127|doi=10.1148/rg.323115096|issn=1527-1323|pmid=22582368|via=}}</ref>  Baffles are used in some types of heart abnormalities that a child is born with known as [[Congenital heart defect|congenital heart defects]].  While baffles are usually constructed, at least in part, from a person's own heart tissue, other techniques known as conduits redirect blood flow using artificial material.
-Baffles can be made between different structures depending on the heart condition that needs to be treated.  The [[Mustard procedure|Mustard]] and [[Senning procedure|Senning]] procedures use a baffle between the [[Atrium (heart)|atria]] to treat [[Transposition of the great vessels|transposition of the great arteries]].  The lateral tunnel form of the [[Fontan procedure]] uses a baffle to redirect blood from the [[inferior vena cava]] to the [[Pulmonary artery|pulmonary arteries]].  Part of the [[Rastelli procedure]] involves creating a baffle that transports blood through a [[ventricular septal defect]] to the [[aorta]].<ref name=":0" />
+Baffles can be made between different structures depending on the heart condition that needs to be treated.  The [[Mustard procedure|Mustard]] and [[Senning procedure|Senning]] 'atrial switch' procedures use a baffle within the [[Atrium (heart)|atria]], redirecting blood from the [[Venae cavae|superior and inferior vena cava]] to the [[Ventricle (heart)|left ventricle]] and blood from the [[Pulmonary vein|pulmonary veins]] to the right ventricle, to treat [[Transposition of the great vessels|transposition of the great arteries]].<ref>{{Citation|last=Park|first=In Sook|title=Complete Transposition of the Great Arteries (Complete TGA)|date=2019|url=https://doi.org/10.1007/978-981-13-6978-0_13|work=An Illustrated Guide to Congenital Heart Disease: From Diagnosis to Treatment – From Fetus to Adult|pages=269–308|editor-last=Park|editor-first=In Sook|place=Singapore|publisher=Springer|language=en|doi=10.1007/978-981-13-6978-0_13|isbn=978-981-13-6978-0|access-date=2020-11-23|last2=Goo|first2=Hyun Woo}}</ref>  The lateral tunnel form of the [[Fontan procedure]] uses a baffle to redirect blood from the inferior vena cava to the [[Pulmonary artery|pulmonary arteries]].  Part of the [[Rastelli procedure]] involves creating a baffle that transports blood through a [[ventricular septal defect]] to the [[aorta]].<ref name=":0" />
 ==References==
 {{Reflist}}