Javois Alexander J, Van Bergen Andrew H, Cuneo Bettina F, Husayni Tarek S
Heart Institute for Children, Advocate Hope Children's Hospital, Oak Lawn, Illinois 60453, USA.
Catheter Cardiovasc Interv. 2005 Oct;66(2):268-72. doi: 10.1002/ccd.20446.
A prenatally diagnosed fetus with hypoplastic left heart syndrome and intact atrial septum was delivered in the cardiac catheterization suite. Using radio frequency energy, a transseptal perforation of the thickened and intact atrial septum was immediately performed following transcatheter cannulation of the right atrium via the umbilical vein. Serial cutting balloon septostomies followed by static balloon septostomies resulted in effective left atrial decompression, atrial mixing, and optimal pulmonary and systemic perfusion. The child is now thriving after both stage I Norwood and bidirectional Glenn procedures.
