[Blade atrial septostomy in an infant with hypoplastic left heart syndrome awaiting heart transplantation].
Blade atrial septostomy was performed in a 36 day-old infant diagnosed with hypoplastic left heart syndrome and restrictive atrial septal defect. The patient was awaiting cardiac transplantation. The defect was enlarged using a 9.4-cm blade. The mean atrial gradient was reduced from 19 to 2mmHg. After septostomy the patient showed marked clinical improvement and aortic oxygen saturation increased from 68% to 88% with no complications. Twenty-five days later orthotopic heart transplantation was successfully performed.
Sección de Hemodinámica, Laboratorio de Cateterismo Cardíaco, Hospital Infantil La Paz, Madrid. fbenito@gmx.net
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Benito Bartolomé
D006348:Cardiac Surgical Procedures; D006325:Heart Atria / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery*; D007223:Infant; D008297:Male