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Balloon atrial septostomy through internal jugular vein in a 45-day-old child with transposition of great arteries


1 Department of Pediatric Cardiology, Innova Children's Heart Hospital, Secunderabad, India
2 Department of Anesthesiology, Innova Children's Heart Hospital, Secunderabad, India

Correspondence Address:
Sumanta S Padhi
Department of Cardiology, Innova Children's Heart Hospital, White House, Moula Ali Road, Secunderabad - 500 017, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.64363

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Year : 2010  |  Volume : 3  |  Issue : 1  |  Page : 77-79

 

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Balloon atrial septostomy is a common palliative procedure in D-transposition of great arteries. It is technically easy before 2-3 weeks of age when the septum primum is thin. Femoral vein or umbilical vein, when available, is the common access used for this procedure. In situations when these accesses are not available or in case of inferior vena cava interruption, trans-hepatic access is used. Internal jugular vein (IJV) access is not used as it is difficult to enter the left atrium through this route. We describe a case of successful Balloon atrial septostomy done through IJV in a 45-day-old child with emphasis on the technique, hardware and precautions necessary during the procedure.






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1 Department of Pediatric Cardiology, Innova Children's Heart Hospital, Secunderabad, India
2 Department of Anesthesiology, Innova Children's Heart Hospital, Secunderabad, India

Correspondence Address:
Sumanta S Padhi
Department of Cardiology, Innova Children's Heart Hospital, White House, Moula Ali Road, Secunderabad - 500 017, Andhra Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.64363

Rights and Permissions

Balloon atrial septostomy is a common palliative procedure in D-transposition of great arteries. It is technically easy before 2-3 weeks of age when the septum primum is thin. Femoral vein or umbilical vein, when available, is the common access used for this procedure. In situations when these accesses are not available or in case of inferior vena cava interruption, trans-hepatic access is used. Internal jugular vein (IJV) access is not used as it is difficult to enter the left atrium through this route. We describe a case of successful Balloon atrial septostomy done through IJV in a 45-day-old child with emphasis on the technique, hardware and precautions necessary during the procedure.






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