Creation of high position fetal balloon atrial septoplasty for hypoplastic left heart syndrome and highly restrictive atrial septum: A case report and literature review

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Hypoplastic left heart syndrome with intact or highly restrictive atrial septum: outcome after neonatal transcatheter atrial septostomy.

BACKGROUND Hypoplastic left heart syndrome (HLHS) with intact or very restrictive atrial septum is a highly lethal combination. We review our 13-year institutional experience treating this high-risk subgroup of patients with emergent catheter therapy. METHODS AND RESULTS Infants with HLHS requiring catheter septostomy within the first 2 days of life were compared with a matched control group ...

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Creation of an atrial septal defect in utero for fetuses with hypoplastic left heart syndrome and intact or highly restrictive atrial septum.

BACKGROUND Infants born with hypoplastic left heart syndrome and an intact or highly restrictive atrial septum face a neonatal mortality of at least 48% despite early postnatal left atrial decompression and palliative surgery. Prenatal left atrial decompression has been suggested as a means of improving these outcomes. This study reports the feasibility of fetal catheterization to create an int...

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Fetal atrial septoplasty is performed for left atrial decompression but not for enhancing preload to a hypoplastic left heart.

Fetal Atrial Septoplasty Is Performed for Left Atrial Decompression but not for Enhancing Preload to a Hypoplastic Left Heart To the Editor: I thank Drs de Almeida, McQuinn, and Sedmera for demonstrating that an increase in ventricular preload is compensated by myocyte proliferation in normal and hypoplastic fetal chick left ventricle.1 The results of their study clearly provide further impetus...

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The hypoplastic left heart syndrome with intact atrial septum: atrial morphology, pulmonary vascular histopathology and outcome.

OBJECTIVES The purpose of this study was to investigate the outcome in infants with hypoplastic left heart syndrome and intact atrial septum and to evaluate the relationship of atrial morphology, left atrial decompression pathway and lung histopathology to outcome. BACKGROUND In the hypoplastic left heart syndrome, severe restriction at the atrial level results in marked systemic hypoxemia af...

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Hybrid stenting of restrictive atrial septum in an infant with hypoplastic left heart syndrome after hybrid stage 1 palliation

The prognosis of children born with hypoplastic left heart syndrome (HLHS) has improved in the last decade. Survival rates are up to 70% for Fontan completion in published series. The most important problem with HLHS patients is restrictive interatrial communication, which decreases survival. In recent years, a transcatheter approach to urgent atrial septal perforation and balloon septoplasty a...

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ژورنال

عنوان ژورنال: Journal of Interventional Medicine

سال: 2020

ISSN: 2096-3602

DOI: 10.1016/j.jimed.2020.01.009