[Blade auricular septostomy].

M Ledesma Velasco; D Nuñez Garduño; J L Salgado Escobar; J Munayer Calderón; L Rodríguez Hernández; A Rangel Abundis

PubMed · 2955762

[Blade auricular septostomy].

M Ledesma Velasco·D Nuñez Garduño·J L Salgado Escobar·J Munayer Calderón·L Rodríguez Hernández·A Rangel Abundis

Abstract

We describe the first case of BAS in our country in a three months old child with transposition of the great arteries, restrictive atrial septal defect (RASD) and intact interventricular septum. When he was 15 days old, we performed a balloon atrial septostomy. He had temporal improvement and six weeks later his cyanosis increased, and a new catheterization showed systemic arterial oxygen saturation of 30%, RASD and an interatrial pressure gradient of 2.1 mmHg (left atrium LA: 3.9 and right atrium RA: 1.8). We decided to perform a new septostomy with Park's blade atrial septostomy catheter. After the procedure the interatrial pressure gradient decreased to 0.2 mmHg (RA: 4.3 and LA: 4.5), the angiography shunt and atrial pressures increased. Five months later the child is alive and the systemic arterial oxygen saturation is 51.3%. The technique, advantages and complications are described.

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Blood Pressure Cardiac Catheterization Coronary Circulation Heart Septum Humans Infant Male Transposition of Great Vessels Case Reports English Abstract Journal Article

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M Ledesma Velasco, D Nuñez Garduño, J L Salgado Escobar, J Munayer Calderón, L Rodríguez Hernández, A Rangel Abundis. [Blade auricular septostomy].. https://pubmed.ncbi.nlm.nih.gov/2955762/

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