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All Journal Paediatrica Indonesiana
Eva Jeumpa Soelaiman
Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology

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Transumbilical Balloon Atrial Septostomy with Echocardiographic Monitoring Sudigdo Sastroasmoro; Bambang Madiyono; Ismet N. Oesman; Sukman Tulus Putra; Eva Jeumpa Soelaiman
Paediatrica Indonesiana Vol 28 No 7-8 (1988): July - August 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (636.683 KB) | DOI: 10.14238/pi28.7-8.1988.160-6

Abstract

Balloon atrial sept ostomy is usually necessary for survival beyond infancy in patients with transposition of the great arteries and insufficient intracardiac mixing. Since the umbilical vein and ductus venosus are often patent in the newborn infants, this route can be considered as an alternative to a femoral venous route in a critically ill infant. A 7 day-old newborn with D-transposition with intact ventricular septum and small patent foramen ovate was successfully managed by creating atrial septal defect through transumbilical balloon arterial septostomy. The procedure was carried out in the neonatal intensive care unit, guided by 2D-echocardiography. The arterial oxygen saturation increased dramatically upon the completion of the procedure, and a large atrial septal defect could be demonstrated echocardiographically. Unfortunately the infant died before further definitive surgery was performed.
Co-Authors Bambang Madiyono Ismet N. Oesman Sudigdo Sastroasmoro Sukman Tulus Putra