Balloon Atrial Septostomy - An Essential Lifesaving Intervention in Neonate with Critical Cyanotic Heart Disease: Experience of Dhaka Shishu (Children) Hospital Paediatric Cardiac Center

Rezoana Rima1, Mohammad Abdullah Al Mamun2, Abu Sayeed Munshi3, Chandan Shaha4,
Abdul Jabbar5, Manzoor Hussain6

Background: The balloon atrial septostomy (BAS) using fluoroscopy or 2D-ECHO
is an accepted effective palliative treatment for cyanotic congenital heart disease (CHD)
due to inadequate intra-cardiac mixing. BAS improves the hemodynamics in a variety
of compromised circulations like D transposition of great arteries (d-TGA) with intact
IVS, Tricuspid or Mitral atresia, Hypoplastic left heart syndrome (HLHS) with
restricted interatrial communication until definitive surgery can be attempted. Atrial
septostomy (AS) is indicated in some patients with RV failure and associated PH in
whom medical therapy has failed.
Objective: The study was undertaken to find out the immediate outcome of cyanotic
children who required BAS to allow adequate intra-cardiac mixing of blood.


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