![]() | Only 14 pages are availabe for public view |
Abstract Simple transposition of the great arteries is one of the most common lethal causes of congenital cyanotic heart diseases. Between September 2007 and February 2008, 15 patients with age ranged between 1 day and 60 days - were diagnosed to have d-transposition of great arteries, underwent balloon atrial septostomy under two-dimensional echocardiographic guidance. Left ventricular volume was measured. Using Simpson’s method before the procedure, immediately after the procedure and after 2 weeks of the procedure, and it demonstrated little or no change with this intervention. Serum sample was withdrawn before the procedure, and immediately after the procedure measuring serum lactate as an assessment of tissue oxygenation with decrease in the mean serum lactate and improvement of tissue oxygenation. The balloon atrial septostomy was successful in 13 patients, and 2 patients did not improve inspite of adequately created atrial septal defects. There were no significant complications related to the balloon atrail septostomy and these results demonstrate that it is an effective palliation of transposition of the great arteries KEYWORDS Balloon atrial septostomy. Two-dimensional Echocardiography. Transposition of great arteries. Congenital cyanotic heart disease. |