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Case Report| Volume 34, ISSUE 3, P342.e9-342.e11, March 2018

Percutaneous Fetal Atrial Balloon Septoplasty for Simple Transposition of the Great Arteries With an Intact Atrial Septum

  • Author Footnotes
    ∗ These authors contributed equally to this work.
    Wadi Mawad
    Footnotes
    ∗ These authors contributed equally to this work.
    Affiliations
    Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada
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  • Author Footnotes
    ∗ These authors contributed equally to this work.
    Rajiv R. Chaturvedi
    Footnotes
    ∗ These authors contributed equally to this work.
    Affiliations
    Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada
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  • Greg Ryan
    Affiliations
    Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
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  • Edgar Jaeggi
    Correspondence
    Corresponding author: Dr Edgar Jaeggi, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario M5G 1X8, Canada. Tel.: +1-416-813-7466; fax: +1-416-813-7547.
    Affiliations
    Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada
    Search for articles by this author
  • Author Footnotes
    ∗ These authors contributed equally to this work.
Published:December 14, 2017DOI:https://doi.org/10.1016/j.cjca.2017.12.010
Percutaneous Fetal Atrial Balloon Septoplasty for Simple Transposition of the Great Arteries With an Intact Atrial Septum
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      Abstract

      We report the first ultrasonographically guided percutaneous balloon atrial septoplasty (BAS), to our knowledge, in a fetus with transposition of the great arteries and an intact ventricular and atrial septum (37 + 2 weeks). After vaginal delivery at 38 weeks, the infant had an elective septostomy (day 1) and an arterial switch procedure (day 7), with an uneventful postoperative course. For centres with experience in fetal cardiac interventions, fetal BAS is a superior management option compared with the alternatives for this high-risk physiology.

      Résumé

      Nous annonçons la première septoplastie auriculaire par ballonnet guidée par ultrasons, à notre connaissance, pratiquée chez un fœtus avec transposition des grandes artères et un septum auriculo-ventriculaire intact (37 + 2 semaines). Après un accouchement vaginal à 38 semaines, le bébé a subi une septostomie non urgente (jour 1) et une détransposition (jour 7), sans événement postopératoire. Pour les centres ayant une expérience en matière d’interventions cardiaques chez le fœtus, la septoplastie auriculaire par ballonnet est un traitement supérieur aux autres pour ce trouble physiologique présentant un risque élevé.
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      Article info

      Publication history

      Published online: December 14, 2017
      Accepted: December 11, 2017
      Received: October 17, 2017

      Footnotes

      See page 342.e11 for disclosure information.

      Identification

      DOI: https://doi.org/10.1016/j.cjca.2017.12.010

      Copyright

      © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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