Pulmonary valvuloplasty for pulmonary atresia-restrictive ventricular septal defect

Liza Jose Reshmi; Shrinivas Gadhinglajkar; Thomas Mathew; Subramanian Venkateshwaran; Rupa Sreedhar; Baiju Dharan

doi:10.1177/0218492314553995

Pulmonary valvuloplasty for pulmonary atresia-restrictive ventricular septal defect

Asian Cardiovasc Thorac Ann. 2016 Feb;24(2):190-4. doi: 10.1177/0218492314553995. Epub 2014 Oct 6.

Authors

Liza Jose Reshmi¹, Shrinivas Gadhinglajkar², Thomas Mathew³, Subramanian Venkateshwaran⁴, Rupa Sreedhar¹, Baiju Dharan³

Affiliations

¹ Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
² Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India shri@sctimst.ac.in.
³ Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.
⁴ Department of Cardiology, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, India.

PMID: 25293418
DOI: 10.1177/0218492314553995

Abstract

Pulmonary atresia with restrictive ventricular septal defect is a rare congenital cardiac anomaly. A Blalock-Taussig shunt and surgical perforation of the atretic pulmonary valve is often performed as the initial palliation. We present our experience of utilizing both transesophageal and epicardial echocardiography during surgical pulmonary valvuloplasty in a 22-day-old neonate with pulmonary atresia with restrictive ventricular septal defect. The atretic pulmonary valve was perforated using a sheath introduced through the pulmonary artery.

Keywords: Heart septal defects; heart ventricles; infant; newborn; pulmonary atresia; pulmonary valve; tricuspid valve; ventricular.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Abnormalities, Multiple*
Balloon Valvuloplasty*
Coronary Circulation
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Septal Defects / diagnosis
Heart Septal Defects / physiopathology
Heart Septal Defects / therapy*
Humans
Infant, Newborn
Male
Pulmonary Artery / abnormalities*
Pulmonary Artery / diagnostic imaging
Pulmonary Artery / physiopathology
Pulmonary Atresia / diagnosis
Pulmonary Atresia / physiopathology
Pulmonary Atresia / therapy*
Pulmonary Circulation
Pulmonary Valve / abnormalities*
Pulmonary Valve / diagnostic imaging
Pulmonary Valve / physiopathology
Punctures
Treatment Outcome

Supplementary concepts

Pulmonary Atresia With Ventricular Septal Defect