Monitoraggio ecocardiografico della settostomia atriale nella trasposizione delle grosse arterie.

Translated title of the contribution: Echocardiographic monitoring of atrial septostomy in the transposition of the great arteries

M. Carminati, O. Valsecchi, A. Borghi, A. Balduzzi, M. Quattrociocchi, S. M. De Tommasi, L. Bergamaschi, G. Invernizzi

Research output: Contribution to journalArticle

Abstract

In seven consecutive cases of transposition of the great arteries balloon atrial septostomy was performed under the sole echocardiographic guidance. The catheter, introduced into either the saphenous, femoral or umbilical vein, was advanced into the inferior vena cava, then into the right atrium, and, through the patent foramen ovale, into the left atrium. The correct location of the tip of the catheter within the left atrial body was easily identified by two-dimensional echocardiography, with a four chamber view from the subcostal approach. Under echocardiographic control alone the inflated balloon was then suddenly withdrawn into the right atrium according to the Rashkind's technique. The procedure was repeated 3 to 5 times. The balloon was inflated with 2 to 3.5 ml of saline solution. The septostomy was deemed to be adequate when the echocardiographic images revealed an atrial septal defect at least 5 mm in size and an increased flapping motion of the inferior rim of the atrial septum. With this technique the risks of complications due to an incorrect location of the catheter are minimized and the outcome of the procedure can be immediately evaluated by measuring the size of the atrial septal defect.

Original languageItalian
Pages (from-to)91-95
Number of pages5
JournalGiornale Italiano di Cardiologia
Volume14
Issue number2
Publication statusPublished - Feb 1984

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Transposition of Great Vessels
Heart Atria
Catheters
Atrial Heart Septal Defects
Atrial Septum
Patent Foramen Ovale
Umbilical Veins
Femoral Vein
Saphenous Vein
Inferior Vena Cava
Sodium Chloride
Echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Carminati, M., Valsecchi, O., Borghi, A., Balduzzi, A., Quattrociocchi, M., De Tommasi, S. M., ... Invernizzi, G. (1984). Monitoraggio ecocardiografico della settostomia atriale nella trasposizione delle grosse arterie. Giornale Italiano di Cardiologia, 14(2), 91-95.

Monitoraggio ecocardiografico della settostomia atriale nella trasposizione delle grosse arterie. / Carminati, M.; Valsecchi, O.; Borghi, A.; Balduzzi, A.; Quattrociocchi, M.; De Tommasi, S. M.; Bergamaschi, L.; Invernizzi, G.

In: Giornale Italiano di Cardiologia, Vol. 14, No. 2, 02.1984, p. 91-95.

Research output: Contribution to journalArticle

Carminati, M, Valsecchi, O, Borghi, A, Balduzzi, A, Quattrociocchi, M, De Tommasi, SM, Bergamaschi, L & Invernizzi, G 1984, 'Monitoraggio ecocardiografico della settostomia atriale nella trasposizione delle grosse arterie.', Giornale Italiano di Cardiologia, vol. 14, no. 2, pp. 91-95.
Carminati M, Valsecchi O, Borghi A, Balduzzi A, Quattrociocchi M, De Tommasi SM et al. Monitoraggio ecocardiografico della settostomia atriale nella trasposizione delle grosse arterie. Giornale Italiano di Cardiologia. 1984 Feb;14(2):91-95.
Carminati, M. ; Valsecchi, O. ; Borghi, A. ; Balduzzi, A. ; Quattrociocchi, M. ; De Tommasi, S. M. ; Bergamaschi, L. ; Invernizzi, G. / Monitoraggio ecocardiografico della settostomia atriale nella trasposizione delle grosse arterie. In: Giornale Italiano di Cardiologia. 1984 ; Vol. 14, No. 2. pp. 91-95.
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