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Ballon Atrioseptotomy for palliation of Complete Transposition of the Great Vessels: A Case Report

Journal of the Korean Pediatric Society 1971;14(2):101-108.
Published online February 28, 1971.
Ballon Atrioseptotomy for palliation of Complete Transposition of the Great Vessels: A Case Report
Ha Sung Lee1, Tae U Paik1, Chin Young Chung1, Chang Suh Kim2, Joon Kap Cha2
1Department of pediatric Yonsei University College of Medicine, Seoul, Korea
2Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
風船心房中隔切開術로 好轉된 大血管轉位 1例 報告
李夏聖1, 白泰字1, 鄭眞榮1, 金胡洙2, 車淳 甲2
1延世大學校 器科大學 小兒科學敎室
2延世大學校 器科大學 外科學敎室
Abstract
This is first report of balloon atrioseptotomy in Korean literature. We experienced one month old. male newborn who had a coinplete transposition of the great vessels with large patent ductus arteriosus. The patient was allegedly doing well until one month of age when he developed dyspnea and cyanosis on crying. There was 3/6 ejection type systolic murmur, maximal at the U.L.S.B. and also well heard all over the precordium. Clinical impression of cyanotic congenital heart disease, complete transposition of the great vessels was entertained by chest X-ray and E.K.G. findings. Immediatelly after the clinical impression was confirmed by cardiac catheterization and selective cineangiocardiogram, balloon septotomy was performed with the clinical improvement. However, he became dyspneic with increasing cyanosis and hematocrit rose to pre-balloon atrioseptotomy level (51%). In view of clinical course, surgical creation of interatrial septal defect by inflow occlusion technique was done two weeks after balloon atrioseptotomy with marked clinical improvement. The patient will be closely followed at the out-patient dispensary.


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