Interatrial Septum Stenting for Hypoplastic Left Heart Syndrome in Ex Utero Intrapartum Therapy

Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation,...

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Published in:World journal for pediatric & congenital heart surgery 2024-03, Vol.15 (2), p.226-230
Main Authors: Sanchez-Escobar, Isabel C., Giraldo-Pinto, Manuel, Quintero-Gomez, Alejandro, Arias, Andrea, de la Peña, Ancizar, García, Raúl, Gutierrez, Jorge, Uribe, Andres, Lince-Varela, Rafael, Ruz Montes, Miguel, Espinal, Juan Alberto, Correa-Velasquez, Rafael
Format: Article
Language:English
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Summary:Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation, and under ex utero intrapartum treatment proceeded with a median sternotomy and transatrial stenting for left atrial decompression due to findings of intact atrial septum on the fetal echocardiogram performed during the procedure. Subsequently, the patient underwent hybrid stage I palliation followed by a comprehensive stage II procedure at five months of age, but unfortunately died from postoperative complications.
ISSN:2150-1351
2150-136X
DOI:10.1177/21501351231196484