Novel transatrial septoplasty technique for neonates with hypoplastic left heart syndrome and an intact or highly restrictive atrial septum.
Two patients born with hypoplastic left heart syndrome and an intact or highly restrictive atrial septum requiring emergent intervention are presented. For both patients, rapid septoplasty was performed using a hybrid approach involving direct atrial puncture and transatrial cutting balloon dilation of the atrial septum. This technique facilitates safe and rapid procedural completion and minimizes the risk of procedural complications in this very-high-risk patient population.
Hill
Kevin
K
Division of Pediatric Cardiology, Duke University Medical Center, DUMC 3090, Durham, NC 27710, USA. kevin.hill@duke.edu
Fudge
J Curt
JC
Barker
Piers
P
Jaggers
James
J
Rhodes
John
J
D002404:Catheterization / Q000295:instrumentation*; D017548:Echocardiography, Transesophageal / Q000295:instrumentation*; D004630:Emergencies; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D011247:Pregnancy; D011677:Punctures; D018084:Ultrasonography, Interventional / Q000295:instrumentation*; D016216:Ultrasonography, Prenatal