Selected children with congenital heart defects undergoing palliative closed heart procedures require a cardiopulmonary bypass (CPB) run only for the purpose of creating an inter-atrial communication. We report a simple technique of atrial septostomy using thoracoscopy scissors under transesophageal echocardiography guidance without the need for CPB.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3957450 | PMC |
| http://dx.doi.org/10.4103/0974-2069.115273 | DOI Listing |
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Balloon atrioseptostomy for transposition of the great arteries in Europe: characteristics and outcomes.
Rev Esp Cardiol (Engl Ed)
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Pediatric Cardiology Department, M3C National reference center, Hospital Necker- Enfants Malades, Assistance Publique-Hôpitaux de Paris, University Paris Cité, Paris, France.
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Department of Congenital Heart Disease, Evelina London Children's Hospital, Guy's & St Thomas' NHS Trust, Westminster Bridge Road, London SE1 7EH, UK; School of Biomedical Engineering & Imaging Sciences, King's College London, London, UK.
Background: Newborns with transposition of the great arteries (TGA) are at risk of severe hypoxia from inadequate atrial mixing, closure of the arterial duct and/or pulmonary hypertension (PPHN). Acute maternal hyperoxygenation (AMH) might assist in identifying at-risk fetuses. We report pulmonary vasoreactivity to AMH in TGA fetuses and its relationship to early postnatal hypoxia and requirement for emergency balloon atrial septostomy (e-BAS).
View Article and Find Full Text PDFFetal-to-Neonatal Transition of an Infant with Transposition of the Great Arteries and Intact Ventricular Septum: A Case Report.
Biomed Hub
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Division of Paediatric Cardiology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.
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Quebec Heart and Lung Institute, Laval University, Quebec City, QC G1V 4G5, Canada.
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October 2024
Division of Cardiology, Faculty of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Article Synopsis
- The study investigates the controversial role of prostaglandin E1 (PGE) in infants with d-transposition of the great arteries (dTGA) undergoing arterial switch operation (ASO) following balloon atrial septostomy (BAS).
- Out of 35 dTGA cases reviewed, 65% required PGE infusion, with a significant 60% of these infants needing PGE to be restarted after initially stopping.
- The findings suggest that keeping PGE until oxygen saturation reaches at least 80% may lower the risk of rebound hypoxia, without increasing adverse effects from the medication.
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