Interatrial groove tear: An unusual complication of balloon atrial septostomy

1983 ◽  
Vol 4 (2) ◽  
pp. 149-150 ◽  
Author(s):  
William B. Blanchard ◽  
Daniel G. Knauf ◽  
Benjamin E. Victorica
Keyword(s):  
Unusual Complication ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy

Blade Balloon Atrial Septostomy in Patients With Severe Primary Pulmonary Hypertension

Circulation ◽  
1995 ◽  
Vol 91 (7) ◽  
pp. 2028-2035 ◽  
Author(s):  
Diane Kerstein ◽  
Paul S. Levy ◽  
Daphne T. Hsu ◽  
Allan J. Hordof ◽  
Welton M. Gersony ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Primary Pulmonary Hypertension ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy

Static balloon atrial septostomy in Japan in shortage of standard balloon septostomy catheter

2021 ◽  
Author(s):  
Kenji Baba ◽  
Kenji Suda ◽  
Motoki Takamuro ◽  
Shin Takahashi ◽  
Hisashi Sugiyama ◽  
...  
Keyword(s):  
Balloon Atrial Septostomy ◽  
Atrial Septostomy

Echocardiographically guided balloon atrial septostomy during extracorporeal membrane oxygenation (ECMO)

1993 ◽  
Vol 14 (3) ◽  
pp. 167-168 ◽  
Author(s):  
Timothy A. O'Connor ◽  
Gregory J. Downing ◽  
Lesley L. Ewing ◽  
Rengasamy Gowdamarajan
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Balloon Atrial Septostomy ◽  
Membrane Oxygenation ◽  
Atrial Septostomy

scholarly journals Survival after balloon atrial septostomy for complete transposition of great arteries.

1987 ◽  
Vol 62 (6) ◽  
pp. 549-553 ◽  
Author(s):  
Q Mok ◽  
F Darvell ◽  
S Mattos ◽  
T Smith ◽  
P Fayers ◽  
...  
Keyword(s):  
Transposition Of Great Arteries ◽  
Balloon Atrial Septostomy ◽  
Complete Transposition ◽  
Atrial Septostomy

Echocardiographically Assisted Balloon Atrial Septostomy

PEDIATRICS ◽  
1982 ◽  
Vol 70 (3) ◽  
pp. 403-408
Author(s):  
Lowell W. Perry ◽  
Roger N. Ruckman ◽  
Frank M. Galioto ◽  
Stephen R. Shapiro ◽  
Barry M. Potter ◽  
...  
Keyword(s):  
Left Atrium ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Atrial Septum ◽  
Two Dimensional ◽  
Single Plane ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy ◽  
Dimensional Echocardiography ◽  
Two Dimensional Echocardiography

Balloon atrial septostomy is an accepted method for palliation of certain types of congenital heart disease. However, malposition of the balloon may lead to cardiac perforation, avulsion of an atrioventricular valve, or laceration of the systemic or pulmonary veins. Inasmuch as single-plane fluoroscopy may not identify balloon position correctly and as biplane fluoroscopy adds significant radiation exposure, two-dimensional echocardiography has been used to assist in balloon atrial septostomy in ten infants. The catheter is advanced from the inferior vena cava to the right atrium across the foramen ovale to the left atrium with the echo transducer in the subxiphoid position. The balloon is inflated and its position within the left atrium is confirmed by echo. The catheter is withdrawn according to the technique of Rashkind. Withdrawal is halted when the balloon traverses the atrial septum. Adequate septostomy is indicated on echo by a defect at least 5 mm in diameter and by flapping of the inferior rim of the atrial septum. There were no complications using this technique and a clinically adequate septostomy was achieved in each patient. Two-dimensional echocardiography-assisted balloon atrial septostomy minimizes risk of complications and decreases exposure to ionizing radiation.

scholarly journals Balloon atrial septostomy and transition of subcutaneous to intravenous prostacyclin infusion for rescuing advanced right heart failure in idiopathic pulmonary arterial hypertension: a case report

2020 ◽  
Vol 4 (3) ◽  
pp. 1-5
Author(s):  
Kae-Woei Liang ◽  
Kuo-Yang Wang
Keyword(s):  
Heart Failure ◽  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Right Heart Failure ◽  
Idiopathic Pulmonary Arterial Hypertension ◽  
Right Heart ◽  
Balloon Atrial Septostomy ◽  
Atrial Septostomy ◽  
Pulmonary Arterial ◽  
Prostacyclin Analogues

Abstract Background Intravenous (IV) prostacyclin analogues infusion and balloon atrial septostomy (BAS) are two important treatment options for managing advanced right heart failure in patients with idiopathic pulmonary arterial hypertension (IPAH). References and protocols are rare for dose titrations and transitions between subcutaneous and IV prostacyclin in functional Class IV IPAH patients. Balloon atrial septostomy is rarely done in very few expert centres. Case summary A young female with IPAH who had received maximal medication including subcutaneous prostacyclin analogues injection was admitted due to advanced right heart failure. She received ascites drainage twice. Later, we directly switched the administration route of prostacyclin from subcutaneous to IV at a ratio of 1:1 instantly. Such rapid conversion led her into a state of profound hypotension and drowsy consciousness, which was resolved after escalating IV inotropics and reducing prostacyclin dosage. Five days later, she received BAS under the guidance of intracardiac echocardiography. Her urine output increased and dyspnoea improved gradually. Six months later, clinical worsening happened again with increase of ascites and dyspnoea. She underwent 2nd and 3rd session of graded BAS with relief of symptoms again. She received permanent transition to IV prostacyclin analogues infusions via a peripherally inserted central catheter after three sessions of BAS. Discussion Balloon atrial septostomy is effective in stabilizing the critical right heart failure in IPAH patients but should be intended as a bridge to lung transplant procedure. Transition from subcutaneous to IV prostacyclin is helpful but needs to be titrated in proper aliquots and time intervals to avoid abrupt haemodynamic changes.

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