Interatrial Septum Stenting for Hypoplastic Left Heart Syndrome in Ex Utero Intrapartum Therapy-Reference-Cited by-同舟云学术

Interatrial Septum Stenting for Hypoplastic Left Heart Syndrome in Ex Utero Intrapartum Therapy

Published:2023-11-21 Issue: Volume: Page:
ISSN:2150-1351
Container-title:World Journal for Pediatric and Congenital Heart Surgery
language:en
Short-container-title:World J Pediatr Congenit Heart Surg

Author:

Sanchez-Escobar Isabel C.¹^ORCID,Giraldo-Pinto Manuel²^ORCID,Quintero-Gomez Alejandro³^ORCID,Arias Andrea⁴,de la Peña Ancizar⁵,García Raúl⁶,Gutierrez Jorge⁶,Uribe Andres³,Lince-Varela Rafael¹,Ruz Montes Miguel¹,Espinal Juan Alberto⁷,Correa-Velasquez Rafael¹

Affiliation:

1. Department of Pediatric Cardiology, Cardio VID Clinic, Pontifical Bolivarian University, Medellin, Colombia

2. Department of Cardiac Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellin, Colombia

3. Department of Congenital and Pediatric Cardiac Surgery, Cardio VID Clinic, Medellin, Colombia

4. Department of Maternal-Fetal Medicine, Bolivarian Clinic, Pontifical Bolivarian University, Medellin, Colombia

5. Department of Maternal Anesthesia, Bolivarian Clinic, Pontifical Bolivarian University, Medellin, Colombia

6. Department of Obstetrics and Gynecology, Bolivarian University Clinic, Pontifical Bolivarian University, Medellin, Colombia

7. Department of Cardiac Anesthesia, Cardio VID Clinic, Pontifical Bolivarian University, Medellin, Colombia

Abstract

Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation, and under ex utero intrapartum treatment proceeded with a median sternotomy and transatrial stenting for left atrial decompression due to findings of intact atrial septum on the fetal echocardiogram performed during the procedure. Subsequently, the patient underwent hybrid stage I palliation followed by a comprehensive stage II procedure at five months of age, but unfortunately died from postoperative complications.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/21501351231196484

Reference8 articles.

1. Decreasing Number of Deaths of Infants with Hypoplastic Left Heart Syndrome

2. Fetal cardiac interventions: Where do we stand?

3. Ex-utero intrapartum treatment as a novel bridging strategy to surgery in hypoplastic left heart syndrome with intact atrial septum—cross-circulation revisited

4. Innovative 2-Step Management Strategy Utilizing EXIT Procedure for a Fetus With Hypoplastic Left Heart Syndrome and Intact Atrial Septum

5. Prenatal diagnosis of atrial restriction in hypoplastic left heart syndrome is associated with decreased 2-year survival