Transcatheter Creation of an Atrial Septal Defect with Brockenbrough Method Followed by Stent Implantation in the Atrial Septum

Pediatric Cardiology and Cardiac Surgery
Vol.25 No.6 2009 (814-817)

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Takashi Soga,¹⁾ Takashi Matsuoka,¹⁾ Madoka Sawada,¹⁾ Takahiro Nishioka,¹⁾ Hideshi Tomita,²⁾ Shigeru Uemura,²⁾ Jyunya Iwasaki,³⁾ and Kazuo Itabashi³⁾

Showa University Northern Yokohama Hospital ¹⁾Children Center, ²⁾Cardiovascular Center and ³⁾Department of Pediatrics, Showa University School of Medicine, Yokohama, Japan

Abstract

In some congenital heart defects, an unrestrictive atrial septal defect (ASD) is nessesary for blood mixing at the atrial level or relief of right or left atrial hypertension resulting in better cardiac output and systemic saturation. Transcatheter creation of an ASD is usually achieved with a variety of techniques including transseptal puncture, balloon septostomy, blade septostomy, and static balloon dilation of the interatrial septum. However, there is no report of the transcatheter creation of an ASD that combines the Brockenbrough method and stent implantation for the atrial septum together.
We report transcatheter creation of an ASD with Brockenbrough method followed by stent implantation for hypoxemia improvement by hemodynamics of complete transposition of great vessels is safety and useful.