Pulmonary valvulotomy in a fetus with pulmonary atresia with intact ventricular septum: First experience in Turkey.

Images in paediatric cardiology Pub Date : 2012-07-01
Tb Polat, N Danısman
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Abstract

The mortality and morbidity of children with pulmonary atresia with intact ventricular septum (PA/IVS) is closely related with right ventricle hypoplasia and its consequent hemodynamics. Prenatal intervention for fetuses with PA/IVS has the potential to improve growth of the RV and the prospect of a biventricular outcome after birth. Successful valvulotomy of the pulmonary valve (PV) was performed in a fetus with PA/IVS at 28 weeks. Following the procedure there was an improvement in fetal hemodynamics. In utero perforation and dilation of the PV in midgestation fetuses with PA/IVS is technically feasible. Our initial results are promising and may be associated with improved right heart growth and postnatal outcome.

Abstract Image

Abstract Image

Abstract Image

肺动脉瓣切开术治疗伴有完整室间隔的肺闭锁胎儿:土耳其的首次经验。
完全性室间隔肺闭锁(PA/IVS)患儿的死亡率和发病率与右心室发育不全及其血流动力学密切相关。对PA/IVS胎儿的产前干预有可能改善右心室的生长和出生后双心室结局的前景。在28周PA/IVS胎儿中进行了成功的肺动脉瓣切开术(PV)。手术后胎儿血流动力学得到改善。在子宫内对妊娠中期胎儿进行PA/IVS穿刺和扩张PV在技术上是可行的。我们的初步结果是有希望的,可能与改善右心生长和产后结局有关。
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