Atrial Septum Perforation Via Levoatriocardinal Vein in a Newborn With Hypoplastic Left Heart Syndrome

Jacek Kuźma; Darren James Grégoire; Krzysztof Godlewski; Cezary Niszczota; Michał Buczyński

doi:10.1016/j.jaccas.2023.102030

Atrial Septum Perforation Via Levoatriocardinal Vein in a Newborn With Hypoplastic Left Heart Syndrome

JACC Case Rep. 2023 Oct 2:25:102030. doi: 10.1016/j.jaccas.2023.102030. eCollection 2023 Nov 1.

Authors

Jacek Kuźma¹, Darren James Grégoire², Krzysztof Godlewski³, Cezary Niszczota³, Michał Buczyński¹

Affiliations

¹ Cardiothoracic and Transplantology Department, Medical University of Warsaw, Warsaw, Poland.
² Department of Cardiothoracic Surgery, Morriston Hospital, Swansea, United Kingdom.
³ Pediatric Cardiology and General Pediatrics Clinic, Medical University of Warsaw, Warsaw, Poland.

Abstract

Hypoplastic left heart syndrome with intact atrial septum has high perioperative mortality. An interventional septum perforation from the right atrium may be technically challenging in newborns with high risk of tamponade. However, neonates with a levoatriocardinal vein provide an alternative approach for septostomy from the left atrium side. (Level of Difficulty: Advanced.).

Keywords: atrial septum perforation; hypoplastic left heart syndrome; intact atrial septum.