TY - JOUR
T1 - Interatrial Septum Stenting for Hypoplastic Left Heart Syndrome in Ex Utero Intrapartum Therapy
AU - Escobar, Isabel Cristina Sánchez
AU - Giraldo Pinto, Manuel
AU - Quintero Gómez, Alejandro
AU - Arias, Andrea
AU - de la Peña Silva, Ancízar Joaquín
AU - García, Raúl
AU - Gutierrez Marin, Jorge Hernan
AU - Uribe, Andrés
AU - Lince Varela, Rafael
AU - Ruz Montes, Miguel
AU - Espinal, Juan Alberto
AU - Correa Velásquez, Rafael
PY - 2023
Y1 - 2023
N2 - Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation, and under ex utero intrapartum treatment proceeded with a median sternotomy and transatrial stenting for left atrial decompression due to findings of intact atrial septum on the fetal echocardiogram performed during the procedure. Subsequently, the patient underwent hybrid stage I palliation followed by a comprehensive stage II procedure at five months of age, but unfortunately died from postoperative complications.
AB - Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation, and under ex utero intrapartum treatment proceeded with a median sternotomy and transatrial stenting for left atrial decompression due to findings of intact atrial septum on the fetal echocardiogram performed during the procedure. Subsequently, the patient underwent hybrid stage I palliation followed by a comprehensive stage II procedure at five months of age, but unfortunately died from postoperative complications.
U2 - 10.1177/21501351231196484
DO - 10.1177/21501351231196484
M3 - Artículo en revista científica indexada
SN - 2150-1351
VL - 15
JO - World journal for pediatric & congenital heart surgery
JF - World journal for pediatric & congenital heart surgery
IS - 2
ER -