Atrial septum stenting in a foetus with hypoplastic left heart syndrome and restrictive foramen ovale: an alternative to emergency atrioseptectomy in the newborn-a case report.
Andreas TulzerWolfgang ArztChristoph PrandstetterGerald TulzerPublished in: European heart journal. Case reports (2020)
Evaluation of the interatrial communication in foetuses with HLHS should be done carefully just before birth. In the case of severe restriction or closure of the foramen ovale atrial septum stenting just before birth can be considered as an alternative treatment to an EXIT procedure, ECMO, or emergency atrioseptectomy on bypass. However, a very experienced team of paediatric cardiologists and perinatologists with expertise in foetal cardiac interventions is needed to perform this technical difficult procedure.
Keyphrases
- emergency department
- gestational age
- atrial fibrillation
- public health
- antiplatelet therapy
- minimally invasive
- healthcare
- left atrial
- extracorporeal membrane oxygenation
- intensive care unit
- heart failure
- acute respiratory distress syndrome
- catheter ablation
- physical activity
- early onset
- quality improvement
- preterm birth
- pregnancy outcomes
- emergency medical
- acute coronary syndrome
- respiratory failure
- pregnant women