Interatrial Septum Stenting for Hypoplastic Left Heart Syndrome in Ex Utero Intrapartum Therapy

Isabel Cristina Sánchez Escobar, Manuel Giraldo Pinto, Alejandro Quintero Gómez, Andrea Arias, Ancízar Joaquín de la Peña Silva, Raúl García, Jorge Hernan Gutierrez Marin, Andrés Uribe, Rafael Lince Varela, Miguel Ruz Montes, Juan Alberto Espinal, Rafael Correa Velásquez

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Resumen

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.
Idioma originalInglés
PublicaciónWorld journal for pediatric & congenital heart surgery
Volumen15
N.º2
DOI
EstadoPublicada - 2023

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  • Artículos de investigación con calidad A2 / Q2

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