title: [Guided transcatheter valvulotomy in pulmonary atresia with intact ventricular septum].
abstract: Transcatheter valvulotomy in pulmonary atresia with an intact ventricular septum can be used as a first step to create biventricular circulation and to stimulate further development of the hypoplastic right ventricle. We describe our experience in a case of a neonate with this congenital cardiac defect who underwent successful transcatheter perforation of the atretic pulmonary valve. This report highlights the utility of a special technique based on the use of a gooseneck snare positioned just above the atretic valve to guide the advance of a coronary guidewire. Other therapeutic alternatives are considered.
authors.affiliation: Sección de Hemodinámica. Servicio de Cardiología. Hospital de Cruces. Baracaldo. Vizcaya. Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Alcibar
authors.forename: Alberto
authors.initials: A
authors.lastname: Cabrera
authors.forename: Natividad
authors.initials: N
authors.lastname: Peña
authors.forename: Christian
authors.initials: C
authors.lastname: Baraldi
authors.forename: Josune
authors.initials: J
authors.lastname: Arriola
authors.forename: José
authors.initials: J
authors.lastname: Aramendi
mesh_terms: D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018633:Pulmonary Atresia / Q000601:surgery*