Guide Transposition of the Great Arteries 25 years after Rashkind Balloon Septostomy

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It seems that from correction with open-heart surgery, many lesions could be repaired in future by hybrid techniques without opening the heart. Neonatal management and outcomes of prenatally diagnosed CHDs. Balloon atrial septostomy - almost half a century after. Balloon atrial septostomy or Rashkind is a technique described almost half a century ago to dilate a preexisting atrial communication in order to enhance atrial mixing and to decompress the left atrium in congenital heart disease.

PRIME PubMed | Rashkind procedure journal articles from PubMed

With the contribution of fetal echocardiography this technique can be pre-planed, but, still many complications can arrive. It is done almost routinely in all case of transposition of the great arteries with restrictive interatrial communication. Many other techniques developed, but Rashkind intervention remains a reference in congenital heart interventions in newborn or small infant.

Nowadays, few complications can arrive, but are not to be neglected. Balloon atrial septostomy by a right internal jugular venous approach in a newborn with hypoplastic left heart syndrome with a restrictive atrial septum. Hypoplastic left heart syndrome with an intact or highly restrictive atrial septum requires urgent decompression of the left atrium.

Catheter-based interventions from the femoral or umbilical veins represent the standard method of atrial decompression.

Atrial septostomy

Restrictive atrial septal defects located at the superior portion of the fossa ovalis can be difficult to cross from these access sites. The international symposium on transposition of the great arteries was held in Munich on May , It was organized by the German Heart Center Muni eh with two aims: firstly, to commemorate the 25th anniversary of Dr. Rashkind's publication: 'Creation of an atrial septal defect without thoracotomy' which appeared in in the Journal of the American Medical Association , and to honor this great pediatric cardiologist, who was one the pioneers of interventional catheterization.

Rashkind in his Iabaratory checking his balloon catheter V This symposium brought tagether embryologists, morphologists, experts in fetal cardiology, pediatric cardiologists, and pediatric cardiac surgeons from 10 different countries.


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Thus, we were able to describe the current state-of-the-art of pre- and postnatal management and the surgical treatment of this second most common con genital cyanotic anomaly of the heart. Forgot Username? About MyAccess If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

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