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BALLOON ATRIAL SEPTOSTOMY
Balloon atrial septostomy also called as Rashkind’s
procedure.
A special balloon tipped catheter is placed in the
left atrium from the right atrium through a patent
foramen oval or an existing ASD.
The balloon is inflated with diluted contrast
material and the catheter is rapidly pulled back to
the RA through the interatrial communication,
thereby creating a large opening in the atrial
septum.
This procedure is indicated in patients with intact
or nearly intact atrial septum in whom better
mixing of systemic and pulmonary venous blood
would benefit their oxygenation, cardiac output
or both.
Infants who have transposition of great
arteries(TGA) with or without associated ASD.,are
candidates for the procedure unless an arterial
switch operation is to be performed immediately.
It is also indicated in infants with….
1.Total anomalous pulmonary venous return with
Restrictive ASD.
2.Pulmonary atresia
3.Mitral atresia
4.Tricuspid atresia
Dr. Abhishek Srivastava
DNB CTVS (Trainee Cardiac Surgeon)

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Balloon atrial septostomy

  • 1. BALLOON ATRIAL SEPTOSTOMY Balloon atrial septostomy also called as Rashkind’s procedure. A special balloon tipped catheter is placed in the left atrium from the right atrium through a patent foramen oval or an existing ASD. The balloon is inflated with diluted contrast material and the catheter is rapidly pulled back to the RA through the interatrial communication, thereby creating a large opening in the atrial septum. This procedure is indicated in patients with intact or nearly intact atrial septum in whom better mixing of systemic and pulmonary venous blood would benefit their oxygenation, cardiac output or both. Infants who have transposition of great arteries(TGA) with or without associated ASD.,are candidates for the procedure unless an arterial switch operation is to be performed immediately. It is also indicated in infants with….
  • 2. 1.Total anomalous pulmonary venous return with Restrictive ASD. 2.Pulmonary atresia 3.Mitral atresia 4.Tricuspid atresia Dr. Abhishek Srivastava DNB CTVS (Trainee Cardiac Surgeon)