Open AccessBalloon Atrial Septostomy by a Right Internal Jugular Venous Approach in a Newborn with Hypoplastic Left Heart Syndrome with a Restrictive Atrial Septum
Author(s) -
Mackie Stewart A.,
Aiyagari Ranjit,
Zampi Jeffrey D.
Publication year - 2013
Publication title -
congenital heart disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.828
H-Index - 42
eISSN - 1747-0803
pISSN - 1747-079X
DOI - 10.1111/chd.12108
Subject(s) - medicine , atrial septum , fossa ovalis , hypoplastic left heart syndrome , cardiology , interatrial septum , decompression , balloon , heart septum , surgery , heart disease , left atrium , atrial fibrillation
Hypoplastic left heart syndrome with an intact or highly restrictive atrial septum requires urgent decompression of the left atrium. Catheter‐based interventions from the femoral or umbilical veins represent the standard method of atrial decompression. Restrictive atrial septal defects located at the superior portion of the fossa ovalis can be difficult to cross from these access sites. Here, we describe a successful R ashkind balloon atrial septostomy performed from an internal jugular approach.