Why would a balloon Septostomy be carried out?
Balloon septostomy is a minimally invasive heart procedure in which a cardiologist uses a balloon catheter to widen congenital heart defects such as foramen ovale, patent foramen ovale, or atrial septal defect.
What is the main indication in performing the balloon atrial Septostomy?
Generally agreed indications for balloon atrial septostomy are: transposition of the great arteries with or without associated cardiac defects (its role in patients with a large duct may be questionable, if the systemic saturation can be adequately maintained with prostaglandin E infusion alone, although in our …
What is Rashkind procedure?
In the balloon atrial septostomy (Rashkind procedure), a balloon-tipped catheter is advanced into the left atrium through the patent foramen ovale. The balloon is inflated and abruptly withdrawn to the right atrium thereby enlarging the opening in the atrial septum.
What is a BAS procedure?
Balloon atrial septostomy (BAS) or Rashkind intervention, described almost half a century ago, is an interventional procedure that applies to particular congenital heart disease (CHD) with the purpose of widening a restrictive atrial communication.
When is balloon atrial septostomy performed?
Balloon atrial septostomy is a procedure to expand an atrial septal defect and improve oxygenation of the blood. It is often performed for children with transposition of the great arteries.
What does Septostomy mean in medical terms?
Septostomy is a life-saving surgical procedure that involves creating a small hole in between the atria, the heart’s upper chambers, or widening the foramen ovale for the treatment of dextro-transposition of the great arteries (d-TGA), a cyanotic congenital defect in which the two main arteries that carry blood out of …
Why is atrial septostomy done?
This procedure alleviates the pressure on the right ventricle of the heart. After surgery, usually the oxygen levels in the blood fall, but the heart failure improves. Atrial septostomy is only done under special circumstances, when doctors believe the benefits outweighs the risks.
How is atrial septostomy done?
A surgeon puts a catheter with a balloon on the tip through the wall between the upper chambers (atria) of the heart to make a hole. This allows blood to pass from the right side of the heart to the left side and bypass the lungs, which have high resistance due to pulmonary hypertension.
Who performed the first atrial septostomy procedure?
6. Discussion. Balloon atrial septostomy (BAS) was first described in 1966 by Rashkind and Miller2 as palliation for patients with transposition of the great arteries to improve saturation.
What is a balloon septostomy?
Balloon septostomy is a minimally invasive heart procedure in which a cardiologist uses a balloon catheter to widen congenital heart defects such as foramen ovale, patent foramen ovale, or atrial septal defect.
What is a Rashkind balloon septostomy catheter?
The Rashkind Balloon Septostomy Catheters are used to create an atrial septal defect or to enlarge an existing atrial septal defect as a treatment option for patients with Cyanotic Congenital heart defects.
What are the risks of balloon atrial septostomy?
Balloon atrial septostomy is an accepted method for palliation of certain types of congenital heart disease. However, malposition of the balloon may lead to cardiac perforation, avulsion of an atrioventricular valve, or laceration of the systemic or pulmonary veins.
Is balloon atrial septostomy the only option for persistent foramen ovale dilatation?
CONCLUSION Balloon atrial septostomy is the first option regarding dilatation of a persistent foramen ovale in the newborn with indication for atrial septostomy, although other new techniques have developed.