Alcibar J, Cabrera A, Peña N, Baraldi C, Arriola J, Aramendi J. [Guided transcatheter valvulotomy in pulmonary atresia with intact ventricular septum].
Rev Esp Cardiol 2003;
56:822-5. [PMID:
12892629 DOI:
10.1016/s0300-8932(03)76963-2]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Transcatheter valvulotomy in pulmonary atresia with an intact ventricular septum can be used as a first step to create biventricular circulation and to stimulate further development of the hypoplastic right ventricle. We describe our experience in a case of a neonate with this congenital cardiac defect who underwent successful transcatheter perforation of the atretic pulmonary valve. This report highlights the utility of a special technique based on the use of a gooseneck snare positioned just above the atretic valve to guide the advance of a coronary guidewire. Other therapeutic alternatives are considered.
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