Abstract:
OBJECTIVE:To assess balloon atrial septostomy monitored with echocardiography. METHODS:From August 1997 to January 2004, 31 infants with congenital heart diseases indicated for balloon atrial septostomy underwent the procedure with exclusive echocardiographic monitoring. Success was defined as the obtainment of an atrial septal defect diameter > 4 mm and ample mobility of its margins. RESULTS:The male sex predominated (83.9%). The median age was 5 days (1-150), and the median weight was 3,300 g (1,800-7,500). Transposition of the great arteries occurred in 80.6% of the patients, tricuspid valve atresia in 12.9%, total anomalous pulmonary venous drainage in 3.2%, and pulmonary atresia with intact septum in 3.2%. The procedure was successful in all patients. The size of the atrial septal defect increased from 1.8 +/- 0.8 mm to 5.8 +/- 1.3 mm (P < 0.0001) and oxygen arterial saturation from 64.5 +/- 18.9% to 85.1 +/- 9.2% (P < 0.0001). The following complications occurred: 3 balloon ruptures, one lesion of the right femoral vein, one supraventricular tachycardia, and one atrial flutter. CONCLUSION:Balloon atrial septostomy monitored with echocardiography is a safe and effective procedure. It may be performed at bedside, avoiding transporting of the patient, identifies the catheter location, reduces the occurrence of severe complications, and assesses the immediate result of the procedure.
journal_name
Arq Bras Cardioljournal_title
Arquivos brasileiros de cardiologiaauthors
Marchi CH,Godoy MF,Santos MA,Moscardini AC,Hassen Sobrinho S,Croti UAdoi
10.1590/s0066-782x2005000300010subject
Has Abstractpub_date
2005-03-01 00:00:00pages
245-50issue
3eissn
0066-782Xissn
1678-4170pii
S0066-782X2005000300010journal_volume
84pub_type
杂志文章abstract:BACKGROUND:High blood pressure is the major risk factor for cardiovascular disease. Low blood pressure control rates in Latin American populations emphasize the need for gathering evidence on effective therapies. OBJECTIVE:To evaluate the effects of dietary interventions on blood pressure in Latin American populations...
journal_title:Arquivos brasileiros de cardiologia
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journal_title:Arquivos brasileiros de cardiologia
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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