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Operative balloon dilatation for pulmonary atresia with intact ventricular septum
J R Hamilton1, S F Fonseka, N Wilson
1Regional Paediatric Cardiothoracic Unit, Killingbeck Hospital, Leeds.
British Heart Journal
|October 1, 1987
Insights
Operative balloon dilatation successfully created right ventricle to pulmonary artery continuity in infants with pulmonary atresia and intact ventricular septum. All six infants survived the procedure and remain well.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease Surgery
Background:
- Pulmonary atresia with intact ventricular septum is a complex congenital heart defect.
- Establishing right ventricular outflow tract continuity is crucial for survival.
Purpose of the Study:
- To evaluate the efficacy of operative balloon dilatation as an initial procedure for pulmonary atresia with intact ventricular septum.
- To assess the long-term outcomes of this surgical approach.
Main Methods:
- Six infants with pulmonary atresia and intact ventricular septum underwent initial operative balloon dilatation.
- This procedure aimed to create continuity between the right ventricle and the main pulmonary artery.
- Two patients later required an aortico-pulmonary shunt.
Main Results:
- All six infants survived the initial operative balloon dilatation procedure.
- All patients remain alive and well at the time of reporting.
- Two infants required a secondary aortico-pulmonary shunt procedure.
Conclusions:
- Operative balloon dilatation is a viable initial treatment for pulmonary atresia with intact ventricular septum.
- This approach can establish necessary circulatory continuity, with potential need for subsequent procedures.
- The overall survival and well-being of infants treated with this method are positive.
Abstract:
In six infants with pulmonary atresia and intact ventricular septum operative balloon dilatation was used to achieve continuity between the right ventricle and the main pulmonary artery as the initial procedure. Two of the six subsequently needed an aortico pulmonary shunt. All six are alive and well.