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Updated: Jul 24, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Interventional treatment for fetus and newborn infant with congenital heart disease
G Satomi1, S Yasukochi, T Imai
1Department of Pediatric Cardiology, Nagano Children's Hospital, Nagano, Japan. gsatomi@naganoch.gr.jp
Insights
Early catheter interventions for congenital heart disease in newborns are effective. This study highlights successful neonatal balloon valvuloplasty for critical aortic stenosis and early delivery for ductus arteriosus constriction.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Neonatal Medicine
Background:
- Catheter interventions are increasingly used for congenital heart disease in pediatric patients.
- Early neonatal catheter interventions are being explored, aided by advances in prenatal diagnosis.
- Prenatal diagnosis enables timely intervention for severe neonatal cardiac conditions.
Purpose of the Study:
- To review current cardiac interventional treatments for neonates.
- To discuss the application of these treatments during the perinatal period.
- To explore future prospects in perinatal cardiac interventions.
Main Methods:
- Review of recent literature on severe structural cardiac diseases in newborns.
- Consideration of conditions like critical aortic stenosis and ductus arteriosus constriction.
- Presentation of case experiences with neonatal interventions.
Main Results:
- Successful early neonatal balloon valvuloplasty for critical aortic stenosis post-prenatal diagnosis.
- Management of premature ductus arteriosus constriction via early delivery to prevent pulmonary hypertension.
- Demonstration of effective perinatal cardiac interventions.
Conclusions:
- Perinatal cardiac interventions are feasible and beneficial for specific neonatal conditions.
- Early diagnosis and intervention improve outcomes for critical congenital heart disease.
- The field of perinatal cardiology shows promising future developments.
Background:
Catheter intervention has become popular not only in adult patients but in younger patients with congenital heart disease. The early neonatal catheter interventional treatment has also been attempted in conjunction with the development of prenatal diagnosis of the congenital heart disease.
Method:
Recent articles concerning several severe structural cardiac diseases in newborns, such as critical aortic stenosis, complete transposition of the great arteries, premature constriction of the ductus arteriosus, and pulmonary stenosis or atresia with intact ventricular septum are introduced with consideration.
Results:
This study investigated our own experiences of early neonatal balloon valvuloplasty in a patient with critical aortic stenosis carried out immediately after the delivery following prenatal diagnosis. A case with prenatal diagnosis of premature constriction of ductus arteriosus which could prevent persistent pulmonary hypertension of the newborn by early delivery at 39 weeks and 1 day of gestation were reported.
Conclusion:
Several cardiac interventional treatments performed in the present time during the perinatal period and some prospects in the near future are described in the discussion.
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