Hybrid Approach to Right Ventricle Decompression in Muscular Pulmonary Atresia with Intact Ventricular Septum.
Bassel Mohmmad NijresYasser Al-KhatibGiedrius BaliulisNeal D HillmanJoseph J VettukattilPublished in: Pediatric cardiology (2020)
Muscular pulmonary atresia with intact ventricular septum (PA/IVS) in neonates is traditionally managed by surgery. We describe hybrid approach to decompress the right ventricle (RV) and establish RV to pulmonary artery connection in a neonate avoiding cardiopulmonary bypass. A 21-gauge access needle was used to perforate the atretic pulmonary valve via periventricular approach followed by stent placement. This case is an example of how patients with congenital heart disease can be palliated in creative ways through thoughtful collaboration between surgical and interventional cardiology teams.
Keyphrases
- pulmonary hypertension
- pulmonary artery
- pulmonary arterial hypertension
- mycobacterium tuberculosis
- coronary artery
- ultrasound guided
- minimally invasive
- heart failure
- end stage renal disease
- left ventricular
- mitral valve
- ejection fraction
- newly diagnosed
- resistance training
- aortic valve
- prognostic factors
- peritoneal dialysis
- aortic stenosis
- low birth weight
- patient reported outcomes
- acute coronary syndrome
- high intensity