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From Atretic to Perforated: A Closer View of Pulmonary Atresia
Author(s) -
Shen ChingHui,
Wang ChungChi,
Fang HsienTe,
Lin MingChih
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12355
Subject(s) - medicine , pulmonary atresia , fluoroscopy , catheter , pulmonary valve , atresia , cardiology , radiology , pulmonary artery
A 7‐day‐old male infant with membranous pulmonary atresia and intact ventricular septum ( PA / IVS ) underwent hybrid pulmonary valvotomy. Access was via median sternotomy guided by intra‐operative epicardial ultrasonography. After puncturing the atretic pulmonary valve, a 6 mm Wanda balloon catheter was inflated to dilate the atretic valve. Adequate valve movement with antegrade flow was confirmed using real time epicardial echocardiography. Intra‐operative epicardial ultrasonography is an effective tool for guiding PA / IVS during hybrid procedures. Epicardial echo imaging provides clear images with excellent quality, helps guide the hybrid operation, and prevents the need for the ionizing radiation of fluoroscopy.