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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Results of Balloon Atrial Septostomy as Preparation for Surgical Correction in Transposition of Great Arteries
World Journal for Pediatric and Congenital Heart Surgery, Volume 2, No. 2, Year 2011
Notification
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Description
Balloon atrial septostomy (BAS) is a palliative procedure performed in the preoperative management of patients with transposition of great arteries (TGA), to improve the mixing of blood between the 2 systems. This report describes experience at the Clínica Cardiovascular Santa Maria in Medellin, Colombia. Between 2002 and 2010, 22 patients with TGA underwent BAS. Patient age at the time of the procedure was 21 days on average; 68% of patients were male. Average weight was 2.96 kg and interatrial gradient was between 4 and 12 mm Hg. The average systemic oxygen saturation at the beginning of the procedure was 60%, with a final saturation of 90%. Z5 atrioseptostomy balloons were used in 18 patients (81%), using Rashkind technique; Tyshak balloon catheters were used in 3 patients (13%) with the Shrivastava technique; and static high-pressure peripheral angioplasty balloons were used in 3 patients (13%). Two patients underwent BAS with 2 types of balloons. Although there were no complications clearly attributable to the procedure, 14% of patients had evidence of focal brain injury on the postoperative magnetic resonance image. Six patients died (27%), 5 of them because of postoperative complications and 1 because of infectious complications at another institution. All postoperative deaths occurred before 2006. The BAS is a safe technique for preoperative stabilization of patients with TGA. © 2011, SAGE Publications. All rights reserved.
Authors & Co-Authors
Padilla, Tatiana
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Zapata, Margarita
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Díaz, Luis Horacio
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Lince, Rafael
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Ruz, Miguel
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Guzmán, Mónica
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Donado, Juan
South Africa, Medellin
Paediatric Cardiology Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Franco, Gloria
South Africa, Medellin
Medical Investigations Division
Colombia, Medellin
Universidad Pontificia Bolivariana
Statistics
Citations: 8
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1177/2150135110395409
ISSN:
21501351
Research Areas
Health System And Policy
Noncommunicable Diseases
Violence And Injury
Study Approach
Qualitative
Participants Gender
Male