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Balloon atrial septostomy (BAS) is a technique used to enlarge a hole between the right and left atrium. Balloon atrial septostomy is an initial life-saving treatment in particular cyanotic congenital heart defect especially transposition of the great arteries-intact ventricular septum (TGA-IVS) and pulmonary atresia-intact ventricular septum (PA-IVS). This procedure aimed to create an atrial septal defect that will enhance the bidirectional mixing of pulmonary and systemic venous blood, hence improving oxygen saturation in this type of heart defect. Complications of BAS consist of arrhythmia, heart block, valve dysfunction, myocardial ischemia, neurodevelopmental abnormalities, stenosis or occlusion of the coronary artery. In our center, during April 2015 June 2016, there were 4 BAS procedures and one re-ballooning. The range of ages was 1-15 days in BAS patients. The NuMedZ-5® (NumedInc, New York, U.S.A) balloon catheter number 13.5 was used. The diameter of atrial communication and oxygen saturation was increased significantly after the procedure.

Balloon atrial septostomy procedures for cyanotic congenital heart defect in Sanglah Hospital