Percutaneous Fetal Atrial Balloon Septoplasty for Simple Transposition of the Great Arteries With an Intact Atrial Septum |
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| Authors: | Wadi Mawad Rajiv R. Chaturvedi Greg Ryan Edgar Jaeggi |
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| Affiliation: | 1. Department of Paediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada;2. Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada |
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| Abstract: | We report the first ultrasonographically guided percutaneous balloon atrial septoplasty (BAS), to our knowledge, in a fetus with transposition of the great arteries and an intact ventricular and atrial septum (37 + 2 weeks). After vaginal delivery at 38 weeks, the infant had an elective septostomy (day 1) and an arterial switch procedure (day 7), with an uneventful postoperative course. For centres with experience in fetal cardiac interventions, fetal BAS is a superior management option compared with the alternatives for this high-risk physiology. |
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| Keywords: | Corresponding author: Dr Edgar Jaeggi, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario M5G 1X8, Canada. Tel.: +1-416-813-7466 fax: +1-416-813-7547. |
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