[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
Ethics::
peer-review::
Indexing::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Journal DOI

AWT IMAGE

..
Copyright Policy
This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 
This Journal is licensed under a Creative Commons Attribution-NonCommercial 4.0
..
:: Volume 25, Issue 1 (3-2023) ::
J Babol Univ Med Sci. 2023; Volume 25 Back to browse issues page
Pulmonary Atresia and Intact Ventricular Septum in Transcatheter Perforation of Atretic Pulmonary Valve
MK Shukur Alghanimi , HA Alsalkhi * , MF Alkhafaji
2.Department of Pediatric Cardiology, College of Medicine, Kufa University, Najaf, Iraq. , hus.dam@yahoo.com
Abstract:   (530 Views)
Background and Objective: The use of mechanical perforation as an alternative to radiofrequency wire in the treatment of pulmonary valve atresia with an intact ventricular septum, which is a duct-dependent cyanotic congenital heart disease. We share our experience with this method, which is especially relevant for centers that do not have access to radiofrequency wires.
Methods: This cross-sectional study was conducted between October 2011 and August 2022 on all infants referred to Shaheed Almehrab cardiac surgery and Catheterization Center‎ in Babylon, Iraq whose severe cyanosis and patent ductus arteriosus (PDA) dependent pulmonary valve atresia with an intact ventricular septum were confirmed by transthoracic echocardiography. A chronic total occlusion (CTO) wiring procedure was used to create perforation through the atretic pulmonary valve with subsequent pulmonary valve balloon dilation, through an antegrade (n=18) or retrograde approach (n=10).
Findings: A total number of 28 infants with 14 infants younger than one month and 14 infants older than one month of age were included. 15 cases (53%) were male. The mean oxygen saturation before the intervention was 44.48±7.43% which significantly improved to 88.35±7.71% (p<0.001). Tripartite ventricles were found in 56.5% of patients. Successful perforation with subsequent balloon valvuloplasty was achieved in 23 cases (82.1%) and death as a complication of perforation was reported in 5 cases. The antegrade operation was associated with higher survival than the retrograde (p=0.041). There were 21.5% of patients who required an additional procedure including a bidirectional cavopulmonary shunt (Glenn shunt) or Blalock-Taussig (BT) shunt to augment pulmonary blood flow. Tricuspid regurgitation improvement was confirmed in 87% of patients‎.
Conclusion: In conclusion, transcatheter perforation of atretic pulmonary valves followed by balloon valvuloplasty is a feasible and effective treatment option for pulmonary atresia and intact ventricular septum.
Keywords: Pulmonary Valve Atresia, Ventricular Septum, Balloon Valvuloplasty, Transcatheter Procedures, Congenital Heart Defects.
Full-Text [PDF 558 kb]   (157 Downloads)    
Type of Study: Research | Subject: Children
Received: 2023/03/7 | Accepted: 2023/05/31 | Published: 2023/09/3
Send email to the article author



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Shukur Alghanimi M, Alsalkhi H, Alkhafaji M. Pulmonary Atresia and Intact Ventricular Septum in Transcatheter Perforation of Atretic Pulmonary Valve. J Babol Univ Med Sci 2023; 25 (1) :356-364
URL: http://jbums.org/article-1-11283-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 25, Issue 1 (3-2023) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی بابل Journal of Babol University of Medical Sciences

The Journal of Babol University of Medical Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Persian site map - English site map - Created in 0.05 seconds with 43 queries by YEKTAWEB 4639