Complete cavopulmonary shunt completion after in utero balloon atrial septoplasty for hypoplastic left heart syndrome Nicholas H. Von Bergen, MD, Harold.

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Presentation transcript:

Complete cavopulmonary shunt completion after in utero balloon atrial septoplasty for hypoplastic left heart syndrome Nicholas H. Von Bergen, MD, Harold M. Burkhart, MD, Larry A. Latson, MD, Stephen P. Emery, MD, Adel K. Younoszai, MD, Heather L. Bartlett, MD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 5, Pages 1355-1356 (November 2007) DOI: 10.1016/j.jtcvs.2007.07.033 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Right upper pulmonary venous flow patterns by Doppler ultrasound. A, Before septoplasty with a highly restrictive pulmonary venous flow pattern. B, After septoplasty with a normal pulmonary venous flow pattern. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1355-1356DOI: (10.1016/j.jtcvs.2007.07.033) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Fetal sonogram showing HLHS with intact atrial septum. B, In utero static balloon atrial septoplasty: The 4-mm balloon (white arrows) is inflated across the atrial septum (dark arrows.) C, Fetal echocardiogram 4 days after septostomy showing jet of left-to-right flow (large arrow) from the somewhat dilated left atrium (LA) to the right atrium (RA) through the newly created atrial septal defect. There is a small jet of mitral insufficiency (small arrow). LV, Left ventricle; RV, right ventricle. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1355-1356DOI: (10.1016/j.jtcvs.2007.07.033) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions