Transcatheter pulmonary valvuloplasty with coronary balloon for critical pulmonary atresia with intact ventricular septum in a neonate

Pulmonary atresia with intact ventricular septum is a rare cause of cyanosis in a newborn. The prognosis and treatment of the condition depend on the pulmonary anatomy as well as the state of the right ventricle. We present a case where the patient presented with acute desaturation, and we had to do...

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Bibliographic Details
Main Authors: Vinayakumar Desabandhu, Santhosh Narayanan, Mohanan K S Sajeer
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Heart India
Subjects:
Online Access:http://www.heartindia.net/article.asp?issn=2321-449x;year=2020;volume=8;issue=3;spage=148;epage=150;aulast=Desabandhu
Description
Summary:Pulmonary atresia with intact ventricular septum is a rare cause of cyanosis in a newborn. The prognosis and treatment of the condition depend on the pulmonary anatomy as well as the state of the right ventricle. We present a case where the patient presented with acute desaturation, and we had to do an emergency pulmonary valvotomy, using coronary wires and balloons, as a lifesaving procedure. The saturation improved on the table, and the patient could be discharged from hospital in a stable state. This particular case shows that opening an atretic pulmonary valve is a viable option and coronary wires and balloons can be used for the purpose.
ISSN:2321-449X