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Blade atrial septostomy: collaborative study.
Author(s) -
S C Park,
William H. Neches,
C E Mullins,
Donald A. Girod,
P. M. Olley,
Gisa Falkowski,
V A Garibjan,
Robert A. Mathews,
F J Fricker,
Lee B. Beerman,
Cora C. Lenox,
James R. Zuberbuhler
Publication year - 1982
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.66.2.258
Subject(s) - medicine , tricuspid atresia , great arteries , interatrial septum , atrial septum , surgery , cardiology , heart disease , atrial fibrillation , left atrium
During the past 4 years, five institutions have collaborated in evaluating the efficacy of blade atrial septostomy. The procedure was performed in 52 patients, including 31 with transposition of the great arteries, 10 with mitral atresia, five with tricuspid atresia and six with miscellaneous anomalies. The patient's ages ranged from 1 day to 12 years (mean 13 months). Improvement occurred in 41 of 52 patients (79%). Four patients had an intact interatrial septum, and blade atrial septostomy was successfully performed by a transseptal technique. One patient died from a lacerated left atrial wall; other complications occurred in four patients. Blade atrial septostomy is an effective palliative procedure, even when the interatrial septum is thickened or intact.

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