Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-26T13:59:00.085Z Has data issue: false hasContentIssue false
  • English
  • Français

Laser or radiofrequency pulmonary valvotomy in neonates with pulmonary atresia and intact ventricular septum—description of a new method avoiding arterial catheterization

Published online by Cambridge University Press:  19 August 2008

Andrew N. Redington ,
Seamus Cullen  and
Michael L. Rigby
Andrew N. Redington*
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospitals, London
Seamus Cullen
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospitals, London
Michael L. Rigby
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospitals, London
*
Dr Andrew Redington, Consultant Paediatric Cardiologist, Royal Brompton National Heart & Lung Hospital, Sydney Street, London SW3 6NP, U.K.
Get access Rights & Permissions [Opens in a new window]

Summary

We describe a new method of transvenous laser or radiofrequency perforation of the pulmonary valve with subsequent balloon pulmonary valvoplasty. The technique obviates the need for arterial catheterisation and considerably shortens the time needed for the procedure. Uncomplicated and successful relief of pulmonary valvar atresia was achieved in both patients attempted, although one ultimately required a Blalock-Taussig shunt because of increasing muscular obstruction of the right ventricular outflow tract.

Keywords

Pulmonary atresiaintact ventricular septumneonateslaser and radio-frequency pulmonary valvotomy
Type
World Forum for Pediatric Cardiology Symposium on Pulmonary Atresia
Information
Cardiology in the Young , Volume 2 , Issue 4 , October 1992 , pp. 387 - 390
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Coles, JC, Freedom, RM, Lightfoot, NE. Long-term results in neonates with pulmonary atresia and intact ventricular septum. Ann Thorac Surg 1989; 47: 213–217.CrossRefGoogle ScholarPubMed
2.Qureshi, SA, Rosenthal, E, Tynan, M, Anjos, R, Baker, EJ. Transcatheter laser-assisted balloon pulmonary valve dilatation in pulmonic valve atresia. Am J Cardiol 1991; 67: 428–431.CrossRefGoogle ScholarPubMed
3.Rosenthal, E, Chan, KC, Skehan, DJ. Radiofrequency-assisted balloon valvotomy for pulmonary valve atresia. Am J Cardiol 1992. [In press]Google Scholar
4.Parsons, JM, Rees, MR, Gibbs, JL. Percutaneous laser valvotomy with balloon dilatation of the pulmonary valve as primary treatment for pulmonary atresia. Br Heart J 1991; 66: 36–38.CrossRefGoogle ScholarPubMed