Open AccessBalloon atrial septostomy through internal jugular vein in a 45-day-old child with transposition of great arteries
Author(s) -
Sumanta S Padhi,
Kinjal D Bakshi,
Avinash Londhe
Publication year - 2010
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.64363
Subject(s) - medicine , great arteries , balloon , internal jugular vein , transposition (logic) , inferior vena cava , surgery , femoral vein , cardiology , superior vena cava , vein , heart disease , linguistics , philosophy
Balloon atrial septostomy is a common palliative procedure in D-transposition of great arteries. It is technically easy before 2-3 weeks of age when the septum primum is thin. Femoral vein or umbilical vein, when available, is the common access used for this procedure. In situations when these accesses are not available or in case of inferior vena cava interruption, trans-hepatic access is used. Internal jugular vein (IJV) access is not used as it is difficult to enter the left atrium through this route. We describe a case of successful Balloon atrial septostomy done through IJV in a 45-day-old child with emphasis on the technique, hardware and precautions necessary during the procedure.