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Vol. 54. Núm. 4.
Páginas 402-404 (abril 2001)
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Vol. 54. Núm. 4.
Páginas 402-404 (abril 2001)
Acceso a texto completo
Auriculoseptostomía con catéter-lámina en un lactante con el síndrome del corazón izquierdo hipoplásico candidato a trasplante cardíaco
Blade atrial septostomy in a lactating infant with hypoplastic left heart syndrome awaiting heart transplantation
Visitas
5946
F. Benito Bartolomé
Autor para correspondencia
fbenito@gmx.net

Correspondencia: Meléndez Valdés, 22, 5. º B. 28105Madrid
Sección de Hemodinámica. Laboratorio de Cateterismo Cardíaco. Hospital Infantil La Paz. Madrid
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
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Estadísticas

A un lactante de 36 días de vida, diagnosticado de sín-drome del corazón izquierdo hipoplásico, en lista de espe-ra de trasplante cardíaco, se le realizó auriculoseptostomía con catéter-lámina por presentar una comunicación inte-rauricular restrictiva crítica. El defecto se amplió utilizando una lámina de 9,4 mm, sin complicaciones. El gradiente he-modinámico medio, en retirada, de aurícula izquierda a au-rícula derecha se redujo de 19 a 2mmHg. Tras el procedi-miento el paciente presentó una notable mejoría clínica, la saturación de O2se incrementó del 68 al 88% y se ha rea-lizado un trasplante cardíaco ortotópico 25días más tarde.

Palabras clave:
Defectos cardíacos congénitos
Trasplante

Blade atrial septostomy was performed in a 36 day-old infant diagnosed with hypoplastic left heart syndrome and restrictive atrial septal defect. The patient was awai-ting cardiac transplantation. The defect was enlarged using a 9.4-cm blade. The mean atrial gradient was reduced from 19 to 2 mmHg. After septostomy the patient showed mar-ked clinical improvement and aortic oxygen saturation increased from 68% to 88% with no complications. Twenty-five days later orthotopic heart transplantation was successfully performed.

Key words:
Congenital heart defects
Transplantation
El Texto completo está disponible en PDF
Bibliografía
[1.]
S.C. Park, W.H. Neches, J.R. Zuberbuhler, C.C. Lenox, R.A. Mathews, F.J. Fricker.
Clinical use of blade atrial septostomy.
Circulation, 58 (1978), pp. 600-606
[2.]
S.C. Park, W.H. Neches, C.E. Mullins, D.A. Girod, P.M. Olley, G. Falkowski.
Blade atrial septostomy: collaborative study.
Circulation, 66 (1982), pp. 258-266
[3.]
M.A. Ali Khan, J.T. Bricker, C.E. Mullins, S. Al Yousef, M.R. Nihill, T.A. Vargo.
Blade atrial septostomy: experience with the first 50 procedures.
Cathet Cardiovasc Diagn, 23 (1991), pp. 257-262
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