Novel approach to the newborn with hypoplastic left heart syndrome and intact atrial septum

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 cannulati...

Full description

Saved in:
Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2005-10, Vol.66 (2), p.268-272
Main Authors: Javois, Alexander J., Van Bergen, Andrew H., Cuneo, Bettina F., Husayni, Tarek S.
Format: Article
Language:English
Subjects:
Adult
Cardiac Catheterization
Catheter Ablation
Catheterization
Female
Heart Atria - diagnostic imaging
Heart Septum - diagnostic imaging
Humans
hypoplastic left heart syndrome
Hypoplastic Left Heart Syndrome - diagnostic imaging
Hypoplastic Left Heart Syndrome - surgery
Infant, Newborn
intact atrial septum
Norwood surgery
Pregnancy
radiofrequency perforation
Ultrasonography, Prenatal
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.20446