Open AccessCentral perforation of atretic pulmonary valve using coronary microcatheter
Author(s) -
Saurabh Kumar Gupta,
Rajnish Juneja,
Anitá Saxena
Publication year - 2017
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/apc.apc_72_17
Subject(s) - medicine , pulmonary atresia , perforation , pulmonary valve , cardiology , percutaneous , atresia , pulmonary artery , surgery , punching , materials science , metallurgy
Percutaneous perforation of pulmonary valve, using 0.014" guidewires meant for coronary artery chronic total occlusion (CTO), is increasingly being performed for select cases of pulmonary atresia with intact ventricular septum (PA-IVS). Despite growing experience, procedural failures and complications are not uncommon. Even in infants treated successfully, the orifice created in the atretic pulmonary valve is eccentric. In this report, we present usefulness of coronary microcatheter in alignment of perforating coronary guidewire to the center of atretic pulmonary valve resulting in central perforation.