Thulium laser assisted atrial septal stent placement: first use in fetal hypoplastic left heart syndrome (HLHS) and intact atrial septum.

Author(s) Belfort, M.A.; Morris, S.A.; Espinoza, J.; Shamshirsaz, A.A.; Cortez, M.Sanz; Justino, H.; Ayres, N.A.; Qureshi, A.M.
Journal Ultrasound Obstet Gynecol
Date Published 2018 Oct 24
Abstract

Absence of atrial communication in hypoplastic left heart syndrome (HLHS) produces severe obstruction of pulmonary blood flow frequently causing vascular injury. Any surviving fetuses suffer high neonatal mortality (50%) from profound hypoxemia since oxygenated blood cannot exit the left atrium (LA). (1,2) Postnatal interventions are suboptimal due to progressive hypoxemia/acidosis that occurs until such time as the inter-atrial septum (IAS) is opened and a left to shunt created. This article is protected by copyright. All rights reserved.

DOI 10.1002/uog.20161
ISSN 1469-0705
Citation Belfort MA, Morris SA, Espinoza J, Shamshirsaz AA, Cortez MS, Justino H, et al. Thulium laser assisted atrial septal stent placement: first use in fetal hypoplastic left heart syndrome (HLHS) and intact atrial septum. Ultrasound Obstet Gynecol. 2018.

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