ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Atrial septal stenting to increase interatrial shunting in cyanotic congenital heart diseases: a report of two cases [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2011; 39(5): 422-426 | DOI: 10.5543/tkda.2011.01368

Atrial septal stenting to increase interatrial shunting in cyanotic congenital heart diseases: a report of two cases

Yalim Yalcin1, Cenap Zeybek2, Ibrahim Ozgur Onsel3, Mehmet Salih Bilal4
1Medicana International Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
2Sisli Florence Nightingale Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
3Medicana International Hospital, Department of Anesthesiology And Reanimation, Istanbul, Turkey
4Medicana International Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey

Aiming to increase mixing at the atrial level, atrial septal stenting was performed in two pediatric cases with cyanotic congenital cardiac diseases. The first case was a 3-month-old male infant with transposition of the great arteries. The second case was an 18-month-old male infant with increased central venous pressure due to postoperative right ventricular outflow tract obstruction. Premounted bare stents of 8 mm in diameter were used in both cases. The length of the stent was 20 mm in the first case and 30 mm in the latter. The procedure was accomplished without any complications. In the first case, oxygen saturation increased approximately 20-25% with no significant interatrial gradient. In the latter, central venous pressure decreased from 16 to 8 mmHg immediately after the procedure. The patient was weaned from the ventilator on the second day and discharged from intensive care unit on the fifth day. Follow-up echocardiograms of both patients showed patent stents with good position relative to the atrial septum. Stenting of the atrial septum seems to be a safe and effective method to create a reliable, nonrestrictive interatrial communication.

Keywords: Balloon dilation, cyanosis/etiology, heart catheterization; heart septal defects, atrial/therapy; heart septum; infant; stents

How to cite this article
Yalim Yalcin, Cenap Zeybek, Ibrahim Ozgur Onsel, Mehmet Salih Bilal. Atrial septal stenting to increase interatrial shunting in cyanotic congenital heart diseases: a report of two cases. Turk Kardiyol Dern Ars. 2011; 39(5): 422-426

Corresponding Author: Cenap Zeybek, Türkiye
Manuscript Language: English


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