title: Impact of balloon atrial septostomy in neonates with transposition of great arteries.
abstract: OBJECTIVE
  To examine the impact of balloon atrial septostomy (BAS) on cardio-respiratory status, need for prostaglandin E(1) (PGE(1)) and postoperative outcomes in infants with transposition of great arteries (TGA).
  
  
  METHODS
  Single-center retrospective review of consecutive neonates with dTGA.
  
  
  RESULTS
  BAS was performed in 42 (70%) infants and resulted in a significant increase in minimum (61 to 76%) and maximum (80 to 90%) oxygen (O(2)) saturations and a drop in FiO(2). BAS was 'successful,' that is, PGE(1) was discontinued in 16 (38%) infants. Three infants died; four infants developed strokes, all of whom had undergone BAS. The duration of hospitalization, ventilation and O(2) need did not differ between infants without BAS, 'successful' BAS and unsuccessful BAS. PGE(1) duration correlated with duration of hospitalization, ventilation, O(2) need and peak respiratory severity score (P<0.03).
  
  
  CONCLUSIONS
  We speculate that limiting BAS for clinical hypoxemia and aggressive weaning of PGE(1) following BAS would improve outcomes.
authors.affiliation: Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI 48201, USA.
authors.forename: G
authors.initials: G
authors.lastname: Hiremath
authors.forename: G
authors.initials: G
authors.lastname: Natarajan
authors.forename: D
authors.initials: D
authors.lastname: Math
authors.forename: S
authors.initials: S
authors.lastname: Aggarwal
mesh_terms: D054087:Atrial Septum; D006328:Cardiac Catheterization / Q000379:methods; D002404:Catheterization / Q000379:methods* / Q000401:mortality; D015331:Cohort Studies; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006776:Hospitals, Pediatric; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007902:Length of Stay; D008297:Male; D010102:Oxygen Inhalation Therapy / Q000379:methods; D012121:Respiration, Artificial; D012189:Retrospective Studies; D018570:Risk Assessment; D016019:Survival Analysis; D014188:Transposition of Great Vessels / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D016896:Treatment Outcome