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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.
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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

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References

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