Catheter-based therapy for small preterm infants with pulmonary atresia/intact ventricular septum.
Catheter-based therapy is the preferred treatment for term infants with pulmonary atresia and intact ventricular septum without right ventricular-dependent coronaries, membranous atresia with patent infundibulum, and acceptable-sized tricuspid valve. However, in smaller preterm infants, it is more difficult to determine the adequacy of the tricuspid valve and right ventricle for two-ventricle repair and there are increased procedural risks. An excellent result in a small preterm infant with pulmonary atresia and intact ventricular septum is described using the following algorithm: determination of the tricuspid/mitral annular ratio, right-sided catheter-based intervention, and a combination of transthoracic echocardiography and angiography.
Stern
Herbert J
HJ
Department of Pediatric Cardiology, Sanger Clinic and Carolinas Healthcare System, Charlotte, NC 28203, USA. herbert.stern@carolinashealthcare.org
Kuo
James A
JA
Wang
Yin-Tao
YT
Baird
Christopher W
CW
D006328:Cardiac Catheterization; D017115:Catheter Ablation; D002404:Catheterization; D017023:Coronary Angiography; D004452:Echocardiography; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D008943:Mitral Valve / Q000000981:diagnostic imaging; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging; D054088:Ventricular Septum / Q000000981:diagnostic imaging