23) TGA is one of the common forms of cyanotic heart disease, and initial management can include atrial septostomy
to treat the initial cyanosis.
Title of his study was Echocardiographic Guided Bed Side Balloon Atrial Septostomy
in Dextro Transposed Great Arteries with intact Ventricular septum.
Once ASO could not be implemented for newborns as early as possible, the application of balloon atrial septostomy
(BAS) allowed the infants with TGA to undergo surgery one month after birth.
His cardiac history is significant for d-TGA with a ventricular septal defect (VSD) and sub-valvular and valvular pulmonary stenosis palliated with a balloon septostomy
on day of life zero and right modified BlalockTaussig shunt at 10 days of age followed by a completion Rastelli repair at 10 months of age with VSD patch and placement of a right ventricle to pulmonary artery conduit.
Another surgical therapeutic option is atrial septostomy
, which involves the creation or enlargement of an atrial septal defect to allow decompression of the right heart and improved leftsided cardiac output.
Our consultant, Dr Robert Yates, performed the balloon septostomy
and our son was then whisked off to the intensive care unit.
The appearance and adjacency of both twin fetal movements confirmed the diagnosis of spontaneous septostomy
of the dividing membrane.
To the best of our knowledge, atrial septostomy
and Fontan fenestration by radiofrequency (RF) energy via an NRG needle have not been reported .
At 10th day of life our patient was diagnosed with d-loop transposition of great arteries (d-loop TGA) and underwent emergent balloon atrial septostomy
at The Aga Khan University Hospital, Karachi, Pakistan.
Dr Asif Hasan performed the delicate operation on Jessica, whose heart was the size of a walnut, in an open heart procedure known as an atrial septostomy
This primary morbidity/mortality endpoint captures clinically relevant events that reflect true disease progression," he noted, explaining that the endpoint included time to death, atrial septostomy
, lung transplantation, initiation of intravenous/subcutaneous prostanoids, or worsening of PAH.
If transposition was diagnosed, the newborn immediately underwent atrial septostomy