Key result
Interventional septostomy via a levoatriocardinal vein provides an alternative approach from the left atrium side in neonates with hypoplastic left heart syndrome and intact atrial septum.
Why the study?
Interventional septum perforation from the right atrium can be technically challenging with a high risk of tamponade in newborns with hypoplastic left heart syndrome and intact atrial septum.
In newborns with hypoplastic left heart syndrome and intact atrial septum, a levoatriocardinal vein can provide an alternative approach for septostomy from the left atrium side.
Hypoplastic left heart syndrome with intact atrial septum has high perioperative mortality. An interventional septum perforation from the right atrium may be technically challenging in newborns with high risk of tamponade. However, neonates with a levoatriocardinal vein provide an alternative approach for septostomy from the left atrium side. (Level of Difficulty: Advanced.)
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Kuźma et al. (2023) studied this question. Interventional septostomy via a levoatriocardinal vein provides an alternative approach from the left atrium side in neonates with hypoplastic left heart syndrome and intact atrial septum.
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