Revisiting the Role of Balloon Atrial Septostomy Prior to the Arterial Switch Operation.

Sujata SubramanianSagar JaniAndrew Well Matthew F MikulskiHitesh AgrawalD Byron HoltNeil VenardosCarlos M MeryCharles D Fraser

Published in: World journal for pediatric & congenital heart surgery (2024)

While BAS is an accepted preoperative procedure in d-TGA patients to improve oxygen saturations, it is also an additional invasive procedure, does not guarantee prostaglandin-free status at the time of ASO, and may increase the interval to ASO. Birth to direct early ASO, with prostaglandin support, should be revisited as an alternative, potentially more expeditious strategy.

Keyphrases

end stage renal disease
ejection fraction
newly diagnosed
minimally invasive
peritoneal dialysis
patients undergoing
prognostic factors