title: Pulmonary valvuloplasty for pulmonary atresia-restrictive ventricular septal defect.
abstract: Pulmonary atresia with restrictive ventricular septal defect is a rare congenital cardiac anomaly. A Blalock-Taussig shunt and surgical perforation of the atretic pulmonary valve is often performed as the initial palliation. We present our experience of utilizing both transesophageal and epicardial echocardiography during surgical pulmonary valvuloplasty in a 22-day-old neonate with pulmonary atresia with restrictive ventricular septal defect. The atretic pulmonary valve was perforated using a sheath introduced through the pulmonary artery.
authors.affiliation: Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
authors.forename: Liza Jose
authors.initials: LJ
authors.lastname: Reshmi
authors.affiliation: Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India shri@sctimst.ac.in.
authors.forename: Shrinivas
authors.initials: S
authors.lastname: Gadhinglajkar
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
authors.forename: Thomas
authors.initials: T
authors.lastname: Mathew
authors.affiliation: Department of Cardiology, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
authors.forename: Subramanian
authors.initials: S
authors.lastname: Venkateshwaran
authors.affiliation: Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
authors.forename: Rupa
authors.initials: R
authors.lastname: Sreedhar
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
authors.forename: Baiju
authors.initials: B
authors.lastname: Dharan
mesh_terms: D000015:Abnormalities, Multiple; D063126:Balloon Valvuloplasty; D003326:Coronary Circulation; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006343:Heart Septal Defects / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D011652:Pulmonary Circulation; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D011677:Punctures; D016896:Treatment Outcome
keywords: Heart septal defects; heart ventricles; infant; newborn; pulmonary atresia; pulmonary valve; tricuspid valve; ventricular