Creating an Interatrial Communication

  • Derize E. BoshoffEmail author
  • Marc H. Gewillig


Creation or enlargement of interatrial communications may be important to:
  • Enhance mixing in patients with simple/complex transposition of the great vessels

  • Augment cardiac output in case of obstructive lesions of the right side of the heart

  • Off-load the right side of the heart in pulmonary vascular obstructive physiology

  • Decompress the right atrium in postoperative right ventricular failure

  • Relieve left atrial hypertension in left-sided obstructive lesions

  • Relieve left atrial hypertension from the non-ejecting left heart during extracorporeal membrane oxygenation for circulatory support

  • Lessen systemic venous hypertension, improve systemic perfusion, and perhaps relieve protein-losing enteropathy in patients with a failing Fontan circulation

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Pediatric CardiologyUniversity Hospital LeuvenLeuvenBelgium

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