Palliative procedures are often initially performed, including the Rashkind catheter-directed balloon septostomy
and the modified Blalock-Taussig shunt (if there is inadequate pulmonary blood flow in the setting of pulmonary outflow tract obstruction).
In an attempt to decompress the LV, the patient underwent percutaneous atrial septostomy
In February 2 0 01, she underwent a rare procedure called an atrial septostomy
which involved drilling a hole through the septum of her heart to release a build-up of pressure.
Patients with advanced-stage disease are typically treated with intravenous prostacyclin or with a percutaneous interventional cardiovascular procedure called atrial septostomy
Babies need an operation called atrial septostomy
, a hole cut into the top chambers to allow blood to circulate.
All patients underwent successful septostomy
and mitral valves were passed by balloon.
In a previously reported case of a four-month-old infant with tricuspid atresia who had undergone neonatal modified Blalock Taussig shunt, and developed Escherichia coli sepsis requiring ECLS, ACS was confirmed by direct venous pressure measurement at the time of cardiac catheterisation for emergency atrial septostomy
Medics then tried an atrial septostomy
, where a hole is made between the two sides of the heart to relieve pressure.
Kernis et al (10) report a case supporting the salutary effects of percutaneous atrial septostomy
for refractory cardiogenic shock caused by RV ischemic dysfunction.
Patients unresponsive to medical therapy could be considered for atrial septostomy
, which creates a right to left shunt and thus decompresses the right ventricle and increases left ventricular preload.
In an effort to create the more favorable condition of intra-atrial communication, the technique of atrial septostomy
for congenital cardiac defects such as transposition of the great arteries has been applied to patients with severe pulmonary hypertension and right heart failure.
is considered as a palliative procedure in severe pulmonary hypertension to relieve symptoms of severe pulmonary hypertension by reducing right ventricular preload and increasing systemic flow.