scholarly journals Impact of balloon atrial septostomy in neonates with transposition of great arteries

2011 ◽  
Vol 31 (7) ◽  
pp. 494-499 ◽  
Author(s):  
G Hiremath ◽  
G Natarajan ◽  
D Math ◽  
S Aggarwal
1987 ◽  
Vol 62 (6) ◽  
pp. 549-553 ◽  
Author(s):  
Q Mok ◽  
F Darvell ◽  
S Mattos ◽  
T Smith ◽  
P Fayers ◽  
...  

2020 ◽  
Vol 21 (4) ◽  
pp. 324-331 ◽  
Author(s):  
Mohammed Hamzah ◽  
Hasan F. Othman ◽  
Allison M. Peluso ◽  
Ibrahim Sammour ◽  
Hany Aly

Heart ◽  
1981 ◽  
Vol 45 (5) ◽  
pp. 559-572 ◽  
Author(s):  
R Leanage ◽  
A Agnetti ◽  
G Graham ◽  
J Taylor ◽  
F J Macartney

2011 ◽  
Vol 2 (2) ◽  
pp. 249-252
Author(s):  
Tatiana Padilla ◽  
Margarita Zapata ◽  
Luis Horacio Díaz ◽  
Rafael Lince ◽  
Miguel Ruz ◽  
...  

2021 ◽  
pp. 1-2
Author(s):  
Meryem Beyazal ◽  
Utku Arman Orun

Abstract Balloon atrial septostomy is a palliative procedure that is performed in D-transposition of great arteries when surgery is not immediately available. Although D-TGA and left isomerism association are rare, it is an important condition as the BAS procedure approach is unique. In this case report, we present two cases of D-TGA with left isomerism where BAS was performed due to restrictive atrial septal defect and lack of immediate availability of the paediatric cardiac surgeon.


2021 ◽  
Vol 4 (1) ◽  
pp. e000224
Author(s):  
Kartik Sehgal ◽  
Kunal Sehgal ◽  
Suraj Varma

ObjectiveTransposition of great arteries is a common cyanotic heart defect. Balloon atrial septostomy aims to improve circulatory mixing and oxygenation. Previous studies have combined infants with intact ventricular septum and those with ventricular septal defect. Additionally, the septostomy was performed much later after birth. The objectives were to ascertain any correlation between the atrial septal defect size and oxygenation, before and after septostomy, as well the change in parameters pre-post procedure.MethodsWe performed an audit of the last 10 years of clinical and echocardiographic data (2010–2020) for infants with transposition of great arteries with intact ventricular septum. A pediatric cardiologist, masked to clinical data, reviewed the images.ResultsOur study of 25 infants with transposition of great arteries with intact ventricular septum noted that the procedure was performed at a median [interquartile range (IQR)] of 3 (2, 4) hours after birth. Prostaglandin was administered to the majority of infants [20/25 (80%)]. While significant increases in partial pressure of oxygen (24±5 vs 40±6 mmHg, p<0.001) and preductal oxygen saturations (67%±18% vs 81%±11%, p=0.003) were noted, and while the atrial septal defect increased in size from 1.8±0.6 vs 4.8±0.7 mm (p<0.001), no correlation was noted between atrial septal defect size and oxygen saturations.ConclusionsIn our study of infants with transposition of great arteries and intact ventricular septum managed with balloon atrial septostomy, no correlation was noted between the atrial septal defect size and oxygen saturations. Pulmonary vascular resistance and pulmonary blood flow may be important physiological variables determining oxygenation.


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