Balloon atrial septoplasty is a catheter-based surgery at the coronary heart wherein an opening is created among the two atria or the upper chambers of the heart. Balloon atrial septostomy is mainly used in A congenital heart disease called dextro-transposition of great arteries in infants or A condition in adults called pulmonary arterial hypertension with right-sided heart failure
What is the procedure for balloon atrial septostomy in India?
The catheterization system for balloon atrial septostomy is completed with the guidance of transthoracic echocardiography or fluoroscopy under general anesthesia or sedation. During balloon atrial septostomy a catheter with an inflatable balloon at the end is introduced into the body through the femoral vein in the leg or the umbilical vein. If both are not possible, the transhepatic route is used.
The catheter is passed through the blood vessels into the right atrium of the heart. From here, it is passed through the foramen ovale into the left atrium. The balloon at the tip of the catheter is inflated, and the catheter is pulled with some force into the right atrium, and then deflated. The procedure is repeated two to three times so that an adequate opening is created between the two atria. The catheter is then removed.
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