title: Pulmonary valvulotomy in a fetus with pulmonary atresia with intact ventricular septum: First experience in Turkey.
abstract: The mortality and morbidity of children with pulmonary atresia with intact ventricular septum (PA/IVS) is closely related with right ventricle hypoplasia and its consequent hemodynamics. Prenatal intervention for fetuses with PA/IVS has the potential to improve growth of the RV and the prospect of a biventricular outcome after birth. Successful valvulotomy of the pulmonary valve (PV) was performed in a fetus with PA/IVS at 28 weeks. Following the procedure there was an improvement in fetal hemodynamics. In utero perforation and dilation of the PV in midgestation fetuses with PA/IVS is technically feasible. Our initial results are promising and may be associated with improved right heart growth and postnatal outcome.
authors.affiliation: Department of Pediatric Cardiology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara.
authors.forename: Tb
authors.initials: T
authors.lastname: Polat
authors.forename: N
authors.initials: N
authors.lastname: Danısman
keywords: Fetal cardiac intervention; Pulmonary atresia with intact ventricular septum; Pulmonary valvulotomy