Abstract
Since the pioneering introduction of this technique by Rashkind and Miller in 1966 [1] balloon atrial septostomy remains the standard initial therapy for infants with D-transposition of the great arteries in the majority of institutions, including our own. It may also be of considerable value in creating an atrial defect in any neonate with left atrial outflow obstruction, such as mitral valve stenosis or atresia. Indeed, when the latter condition is associated with complex intracardiac anatomy, balloon atrial septostomy should be performed even in the absence of an atrial gradient, as the atrial opening will become obstructive in most infants within a few weeks to months [2]. Initial echocardiographic assessment is mandatory not only to determine cardiac diagnosis but to assess the shape, location, and volume of the left atrium (see below).
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© 1987 Martinus Nijhoff Publishing, Boston
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Fellows, K.E., Lock, J.E. (1987). Catheter Intervention: Septostomy, Occlusion Techniques, and Pericardial Drainage. In: Diagnostic and Interventional Catheterization in Congenital Heart Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2333-4_7
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DOI: https://doi.org/10.1007/978-1-4613-2333-4_7
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