• Can J Cardiol · Mar 2018

    Percutaneous Fetal Atrial Balloon Septoplasty for Simple Transposition of the Great Arteries With an Intact Atrial Septum.

    • Wadi Mawad, Rajiv R Chaturvedi, Greg Ryan, and Edgar Jaeggi.
    • Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.
    • Can J Cardiol. 2018 Mar 1; 34 (3): 342.e9-342.e11.

    AbstractWe report the first ultrasonographically guided percutaneous balloon atrial septoplasty (BAS), to our knowledge, in a fetus with transposition of the great arteries and an intact ventricular and atrial septum (37 + 2 weeks). After vaginal delivery at 38 weeks, the infant had an elective septostomy (day 1) and an arterial switch procedure (day 7), with an uneventful postoperative course. For centres with experience in fetal cardiac interventions, fetal BAS is a superior management option compared with the alternatives for this high-risk physiology.Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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