All issues > Volume 14(2); 1971

Case Report

J Korean Pediatr Soc. 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

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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