Atrial septostomy has been the last resort in the management of patients with the right ventricular failure related to pulmonary hypertension before lung transplantation. In this paper, we present a simple and safe technique (transatrial approach) for balloon atrial septostomy in a patient who required central venoarterial extracorporeal membrane oxygenation after pulmonary endarterectomy.
Keywords: ECMO; Pulmonary hypertension; apheresis & detoxification techniques; artificial kidney; atrial septostomy; cardiopulmonary bypass; pulmonary endarterectomy.