Padhi Sumanta S, Bakshi Kinjal D, Londhe Avinash P
Department of Pediatric Cardiology, Innova Children's Heart Hospital, Secunderabad, India.
Ann Pediatr Cardiol. 2010 Jan;3(1):77-9. doi: 10.4103/0974-2069.64363.
Balloon atrial septostomy is a common palliative procedure in D-transposition of great arteries. It is technically easy before 2-3 weeks of age when the septum primum is thin. Femoral vein or umbilical vein, when available, is the common access used for this procedure. In situations when these accesses are not available or in case of inferior vena cava interruption, trans-hepatic access is used. Internal jugular vein (IJV) access is not used as it is difficult to enter the left atrium through this route. We describe a case of successful Balloon atrial septostomy done through IJV in a 45-day-old child with emphasis on the technique, hardware and precautions necessary during the procedure.
球囊房间隔造口术是大动脉转位（D-TGA）常见的姑息性手术。在出生后2 - 3周龄前，当原发隔较薄时，该手术在技术上较为简单。股静脉或脐静脉（若可用）是该手术常用的入路。当这些入路不可用时，或在下腔静脉中断的情况下，则采用经肝入路。不使用颈内静脉（IJV）入路，因为通过该途径进入左心房困难。我们描述了一例通过颈内静脉成功为一名45日龄患儿实施球囊房间隔造口术的病例，重点介绍了该手术过程中所需的技术、器械及注意事项。
