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Novel approach to the newborn with hypoplastic left heart syndrome and intact atrial septum
Author(s) -
Javois Alexander J.,
Van Bergen Andrew H.,
Cuneo Bettina F.,
Husayni Tarek S.
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20446
Subject(s) - medicine , hypoplastic left heart syndrome , cardiology , atrial septum , decompression , left atrium , cardiac catheterization , balloon , perfusion , surgery , heart disease , atrial fibrillation
A prenatally diagnosed fetus with hypoplastic left heart syndrome and intact atrial septum was delivered in the cardiac catheterization suite. Using radio frequency energy, a transseptal perforation of the thickened and intact atrial septum was immediately performed following transcatheter cannulation of the right atrium via the umbilical vein. Serial cutting balloon septostomies followed by static balloon septostomies resulted in effective left atrial decompression, atrial mixing, and optimal pulmonary and systemic perfusion. The child is now thriving after both stage I Norwood and bidirectional Glenn procedures. © 2005 Wiley‐Liss, Inc.