Revisiting the Role of Balloon Atrial Septostomy Prior to the Arterial Switch Operation
While BAS is an accepted preoperative procedure in d-TGA patients to improve oxygen saturations, it is also an additional invasive procedure, does not guarantee prostaglandin-free status at the time of ASO, and may increase the interval to ASO. Birth to direct early ASO, with prostaglandin support, should be revisited as an alternative, potentially more expeditious strategy.
Authors
- Carlos M. Mery (ORCID: https://orcid.org/0000-0003-0779-2381)
- Sagar Jani
- Hitesh Agrawal (ORCID: https://orcid.org/0000-0001-9272-6949)
- D. Byron Holt
- Matthew F. Mikulski (ORCID: https://orcid.org/0000-0002-1694-7894)
- Sujata Subramanian
- Andrew Well (ORCID: https://orcid.org/0000-0002-0725-2791)
- Neil M. Venardos
- Charles D. Fraser (ORCID: https://orcid.org/0000-0003-4761-3296)
Institutions
- Dell Children's Medical Center of Central Texas (US)
- The University of Texas at Austin (US)
- The University of Texas Health Science Center at Houston (US)
Publication Details
- Journal
- World Journal for Pediatric and Congenital Heart Surgery
- Published
- 2024-08-09
- DOI
- https://doi.org/10.1177/21501351241252428
- Citations
- 2
- Primary Topic
- Congenital Heart Disease Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.77